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i <br />Form ~vl~ , ~~ Department of the ?reasury -Internal Revenue Service ~, <br />(Rev,.Septembert9Ta)~- Notice Qf Federal Tax Lien Under Internal Revenue Lauvs <br />D1StrIC~t .a~2flat t`tumbet T-Fw OA=~Ansf Usa by RacorCiny OHice <br />~ <br />? ~ <br />35841 <br />,4 ~- <br />As piovided by sections 8321, 5322, and 6323 of th? !ntemal Revenue Code, ~ <br />notic® is given that taxes {including interest and penalties) have been assessed <br />agaiirtg# fire foliorairtg-named taxpayer- pemand for paymert ofi this iiabiiity has <br />been-made, but it remains unpaid- Therefore, there is a lien in favor of the United ~ <br /> <br />a`'ates cxt elf property arui rights to property moony-ing i0 this ia~cpayer #or tPre <br />ii~ _ <br />fy ~n ~~;;tt~~ <br />, <br />~ JO <br />~ <br />amount of these taxes, and additional penalties, interest, and ccsis that may I <br />accrue. f <br />t c3iSa , <br />W <br />Name of Taxpayer <br />._~s .-_..~v~ <br /> <br />~~ <br />Kind of Taz Tax Rariod Eradad t3tda of Asse~rtfeM ldatrtffying Ntan6ar ~€ <br /> <br /> i 1 ,~ <br /> <br />! 1 <br />- i <br />- <br />rsaax caa r~uaty i <br />-~ - TVWr ~ • `14 ~ Viti <br />-~__~ _?y~.- __~ -____ -. <br /> <br />TI3ts ?roi1C@ Nt8& p[ep0ted atfd sgr~d at ~ ~'-- - <br />-_ ~ __ ~ r this. <br />_ _ __ _-....__-- -~ _... ~___ ~3 <br />a ~ Title <br />i+ia! '~..+~~. ~ ancx ayrhar;ea~ t'r u. rw rat. a,.maw~imogwronn: ,: nJ+ as3ar.ra7 m the ra),cwr d Nacre d <br />Fft!!rL'f F~ it=t +3c1.3dtt9,?~_ ~$..s?~.} <br />Matt Z = To ba ~ ~ raC6r+~_tAfi_ oe-' r=atiT1 PYO {PtBV. 9-7a) <br />t.-. <br />J <br /> <br />