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FoI'm 668�Y) (C) 1 f,;K��7 Department of theTreasury-Internal Revenue Service <br /> . (Rev�.Augus ,99�, Notice of Federal Tax Lien <br /> District � Serlal Number For Optlona/Uae by Recording O111ce <br /> i M I DWE° �, _ :-,c7•,,r.?,�.�7•`F , <br /> J��. ' •:J � .J ,� <br /> As provided by sectlons 6321', 6322, and 6323 of the Internal Revenue -. 9�' 14.����'� <br /> Codes we are giving a notice that taxes (Including Interest and penalties) <br /> have been assessed against the following-named taxpayer.We have made <br /> a demand for payment of this liability, but it remains unpaid. Therefore, �. . <br /> there is a lien in favor of the United States on all property and rights to .� <br />' property belonging to this taxpayer fOr the amount of these taxes, and �. <br /> additi.onal penalties, interest, and costs that may accrue. <br /> Nam�.of Taxpayer CONN I E L .;: MARY C MCCdRTNEY <br /> � <br /> ; <br /> Residence ��,�,� g L I NC!�E_M <br /> GF�1ND I:SLAND, NE h89c7i-71�F� <br /> IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br /> unless notice of lien is refiled by the date given in column (e), this notice shall, <br /> on the day following such date, operate as a certificate of release as defined in - <br /> IRC 6325(a). <br /> Kind of Tax Tax Period Ended Identifying Number Date of Last Day for Unpaid Balance of <br /> (a) (b) ��� Assessment Refiling Ass�ssment <br /> (d) (e) (f) <br /> 1�►AC� �.��/`:�1/t:"�+�1 T::r�.-C�1-r,►4��r� �7/13/l�i��� '�:c/i�:/<<►{►�._ <:,�:��7.`.'��'i <br /> 1��4�� 1�/�1,�l�:��'� r ��:�'t-C�I-`.�►4�+� 1C�ft�7/1��r; 1 �1G�/�'�:�<�r; 3. 1�:�T�-.:.�3:i <br /> ii��G l�:l��sl/1���F >���c--���-�4�� � t/1�/1���� 1�/1�..=si�c:s�:>�, 1�':�:•;;c_�.�,�i <br /> 1 C�4U ��l`�1/�•:�'�c:, r�,=:�c-G 1-��+4`.'�S+ r.;l t�[/i�`."�+7 �7l Uc/<:'�:�C�7 ,�:_c;��.�+�� <br /> � <br /> i <br /> � <br /> � <br /> Place of Filing <br /> F:e� i sCer r�f LYee�s Total $ <br /> Na! I G��unty :�;.�'�r�.�.c�.� <br /> Gr-and Is I anti-i, IUE ��5�:)f <br /> This notice was prepared and signed at�� EWauf�:ee: WI , on this, <br /> the i 1 th day of ��Y , 1`•7`a� <br /> � � <br /> Signatu . +7,� <br /> fc�r FE�7FcZC:k: k:ELLC�vG � Ftever�ue f,;�fTi �:er ;?:'�-C�l.-���41 <br /> (NOTE:Certilicate ol oHlcer authorized by law to take acknow/edgments is r�Q�gssentia/to the valldity ol Notice ol Federa/Tax llen Rev.Rul.71-466, 1971-2 C.B.409) <br /> PART 1-KEPT sY RECORDINO OFFICE Form 888(1�(c) (Rev.8•97) <br /> CAT.NO 80025X <br />