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<br /> J���7 Depa�tment ot the Treasury-intemal R6venuo Service � � _
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<br /> �.:(Rev OCtober 1993) �OtIG� �f ��a��'�� T�x L��� � � . . __--
<br /> Serial Number For ORtlonal Uso by Ro�orelny fttca � '' _•
<br /> ,� District � � � , . ' -
<br /> MIDWES7 39971�768 ������,si . ` , ,��..
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<br /> , d�s proulded by sectlons 6321, 6322, and 6323 of the Interna! Ftevenue � _ °• � .
<br /> � Code��re are giving a notica ihat taxes pncluding Interest and penaltles) � , � - . �- - . - -�
<br /> have be$n assessed agalnst the tollowing•named taxpayer.We have made . `"`4
<br /> s demand tor payment of thts Itabllt4y� but [t remalns unpald. Theretore, � :. ` �
<br /> ther�(s a Iten In favor of the United States on all property and r[ghts to _ _ � . � �
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<br /> p�operty betoraging to tfitls texpayer tor the amount at triese taxes, and � ; �. � �,�,��.�,
<br /> . additlonal penaltlas,interest�and costs that may accrue. . �'��___ —
<br /> NBme Ot Texpayer �LEN S I NSEL • , • `"-��"�
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<br /> Residance � . . °3� `'�"
<br /> �22 E FIRST S7 AFT 2 -
<br /> GRAND I�LflND, rdE 68801-7706 � ' • � • ��
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<br /> IMPORTANT RELEASE INFORMATION: For each assessment Iisted balow, � . .r=�°s�_.,.__
<br /> unless notice of Hen is refiled by the date givan In column(e),this notice shaii, � .F : �.. '�� "`
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<br /> on the da y toflowirtg such date,operate as a ceRificate of release as defined ^ � - �- �r����
<br /> in IRC 6325 a). . `��—-
<br /> Tax Perlod Oate ot Last Oay tor Unpald Balanc� �j . . . "'- '-
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<br /> - Kind o!Tax Ended tdentttying Number Assessment RefUing o4 Assessmeet , . . <_` �
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<br /> � 1040 12/31/87 514—�0-166c� O�/09/88 Ob/OB/48 367.48 ,, ;
<br /> �Z 1�40 12/31/99 514-3U-16b4 U7/2U/92 08/19/U2 7193. 13 ,:�T„�g�'. , t :; :, $,_,
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<br /> �� � Mi l waukee, WI , �•t"-'�` ` . . -
<br /> ; This notice was prepared and signed at . on this. •��"�=�'����'j` �
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<br /> :. (NOTB:Certiiicata of otfic¢r authorized ty law to take acknorrledgments la no!e9sentlat to the valldity ot Notico of F�dsral Tax Iitn I . —
<br /> . Rav.Ru1.71•463,1971•2 C.B.409) � . , .. ' • .
<br /> Part 1- Kept By Recording Oiflce Fo�s�IY)lc)_(Rev.10193)^� � . . _
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