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Fpm ~ ,QBperlmen4 tN ?fie Fr¢aekkrY - in(ekne/ nevecu2 Service - <br />:>:~. ~~~,a~,~:~ ~~~~al 'fax Jaen Under lnternai Revenue Laws <br />Cketr:ct - ~ f5eriat:Number F~ onr~~kai vs® ev ne~ma:>,a once <br />As Fxcvfded Ly sectiorss 8321. -H3~,_ and 8323-'af--the trnemal Reversue Code, <br />rrefiCe +s. given tiTBt: taxes fin4tading interest ared pertafties) have Geer.. assessed <br />aga6rt&t ate fWtaving-ftameti, i3xp2X6r. perrfattcf-far pa^yrnent of this liability has <br />Qe6n made. but ii rer;aftts unpafcf- i m9rezt~; titers is a iien in favor of the Uniteo <br />States or, ai! property and rights to property Gefonging to this taxpayer fcr fhe <br />amou,t of these taxes, and addifionai peneltl6& interest. and costs that may <br />aCCRie. <br />tdaitte of7rxpayer <br />xu#. J. and Jean &. Henan <br />$1r <br />rw <br />TltigrnTtttewes~slswat_..~s_,~t~£~f~.^__._-._._____ _, on this. <br />~:. dey of #[aFCit .f9~ <br />Ia D. Metizger Revenue Officer <br />-CflWM ~SrktMKt W edher rutpar~w br tas it krre acwrouzaopnwrs ,s .nor rssentq+ to (fie +r68Ry ~ u«we a <br />/Qlibi"et raa t,&n ti.lrJi-,4tlt~g, `x~k. G.a, 12.A.j <br />Pert t - 7O tM k1¢F Dy reeotdYtO ~ - Fam 886 iRev. 9~ i 8) <br /> <br /> <br /> <br /> <br /> <br />