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,_~~.. - <br />,r'r ,. } <br />~. ..~~ - .3 Fi- ' <br />Fwm ~ ..~p~pepritentoftheTreesury.IMd~rhatRevenueServlca - - - <br />i <br />[~~ce of <br />,~ ~~.,~, -, federal Tax -lien Under Internal Revenue Laws, <br />f~ ~ __ ~ _ --•~ <br />- Disfr3c[ _ !Serval Number ~'~'~~ FotovUsebvR~or~nsanco <br />F}c.~€is 4, `; ~~. ~~45313 -.v_~ 3i [ ~ ~~sa ~ <br />as ~rovidd bysect(rt,s 832-t, 8328, anrt fi323 of the internal Revenue Code; ! ~~-°4 (} Q ~ 3 2 <br />Rott~Ce is ;given. th5# faxes (ietc}ttdtng fntrKeat ~rx! penfrttiea) h$ve been <br />- assessed' irtat-it-ent~wirrisi~iteckfiax~jgbt t7eatansl for payment of ~ <br />this llabllft~as-been e; tNtt h remains tRtpald. Therefore, therein a i}en <br />to favor at thtrUnitett States on aitpropartyand`fNghts to propeety belonging <br />to this taxpayer ftlr thr amount of thew taxes' attd add{ttona! penahiea; ~ <br />ifttereet, andoost8that mayacicrue: ~ <br />- ~ <br />-Name ofTexpsyer _____..~~.°.....u.______.____,__ _ _.._____.._----------Y <br />7aor. ~ar~, Ltr~n ~. <br />Residence iy_~ '_ ._ ~_~_.v____.-_-'. ._.j ~` <br />° ~ '. - <br />INPCfRTAN7.FELEA6E 1NFOAM.AT70(+1: Wifh reBdeQ-.to each==assessmen{~ lister} helovr~Untess - - -- ~ ~ - - <br />- ,w4oa of Ipn is rsfiletl M the dale given in column (ei, [his rmliCe shale, cn the day lOltoiving - -- _ <br />suchde[a,operale ea.arert{~cate.ct cefease as detinacfin fAC832$(a1.. - _ - - .. - <br />Tax~Oierfod f Datrof j{ Last Day fore Unprtitt;Haiance .,.., <br />Kind of Tax tcftded ~ idettNfying Number Raeesament t Reuling of Assessment . ._ <br />- 'mot. ';. - . ~. -A~ `#~~ ~` ~,- "L_-i7 4-": ~.. _^u..' ~e:t .ii ~.. a <br />~ 1.. f } <br />z <br />__ t - - - - i <br />_ i._ .-. <br />. ~ !.: - 3 <br />~ ~ <br />g + <br />~ i - <br />~:.:. 1.: <br />f <br />- f - - - <br />1 <br />i. <br />- I -... - <br />~~~ ! - _______ i____~,__ __z.__P.___ _.__. _ <br />f <br />Ttt~ nonce was Prepared and signed at __. ~..~.._. - ~ ~ ~ }~ ~ _ _ <br />- , dq this, <br />ttw ~dayof ~'~: ~it9~r___ _ <br />tom- ~ ~ ; TRH - <br />,° <br />t , <br />- {t(QiE; Gtufikea€eWuMrtr a~lftKUUertky;ax•ro takueM;Rra~~lettgnrents argot assenrtalto rm vetidiryWNOtrce a!Fevarat Tax Lien <br />- ~r0e„~8++.. Tt.dr~„ 1477-2. C.B. ap4J <br />f`ar, t -° Ta be tCspt by Recording tt#fir~: Form 66ate) (Rev. 2•&3) <br />~; <br />