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�� i <br /> y � � � <br /> � � � <br /> FOI'm 06� C�Rf�1ENT F TIIE iREASURY�-IMERNAI RfVENUE SC6\'ICF f�Opfivnol;:;..�Y.o;orA�ng O(fice . <br /> , �Hev. i o n� GNf1TICft1f FED��A�AX UEM UNDER INTERNAL RE4fNUE LAWS <br /> DISTRICT SERIAL NUMDER ���jgG <br /> Pursuant to the provisions of$ections G321,6322,mid 6323 of thc Internal Reve• <br /> nue Coda, notice is hereby fliven lhot there have been assessed under Ihe Irturnal <br /> Revenuo laws of ihe United Stales npainsl the FolloWing�named taxpayer,laxet(includ• r <br /> � ing interest and penolfies)which after demand for payment thercoF remain unpaid,and <br /> �: thoS by virtvc of the abovemonlion d sta(ule:the amounl oF said laxes,la,yclher wilh <br /> penalhes,interest,and Cbs)s>j�al r��c�}ue in adddiwi Ihereto,is a lien in fovor of <br /> ' Ihe t)nited$fates upon all property and righfs to propeMy belonfling to said faxpayer. <br /> r� <br /> NAME Of TAXPAYER` <br /> Galen L. Hoffman-- • <br /> RESID:NCE <br /> Rt 3 t Eiox 43, Grarid Tsland Airport <br /> � ; Grand Island, t�ebraslca 6fi$Ol <br /> UNPAID�ALANCE <br /> KIND OF TAX TAX PERIOD END[D DATE Of ASS[SSMENT �I?Ct�lTIFYING NUMNCH OF ASSES�MENT <br /> (a) ��) (c� ���� ��) � . <br /> 94i o9-30-75 03-29--76 ----1,G o27oz23_---- ;��.,396.62 <br /> � � <br /> { � <br /> C <br /> �; ! �ll�`�� <br /> � <br /> 16' <br /> � ; <br /> � ; PIACE OF FILING ge�ister of L�eeds ----�^-- ---- --�— '----� <br /> Y' <br /> County of Hall TOTAL g 1,jg6.(�2 <br /> Gr2nd Is:land, Nebras1ca G�3.s.'Ol <br /> �, i <br /> WITNESS my hand al - (:r:md T�1-,ir�ri�ldrit�rn^1t;1 ------_,—_.--- —,on 16rs <br /> tho 5th day of M�_�__, 19 '7E] _ <br /> SIGNATURE ��,� l�� TITL[ � <br /> v �. v�v/�v..s. <br /> R. B. RufS'ner Reve�nue Uff'ice:x• <br /> �NOTE:Cerfifcmo of off�cor awhorizuJ by low lo toke acknowiedymantt is nol essenliul b the vuhdily of Nolice of FeJeral Toa Lien G.C.M. ,,� . � <br /> 26A19,C.d. 1950•51, I25.) <br /> PART 1-To be rofainod by racording offico N �;�` <br /> L._ �. -.� � <br /> �. -- <br /> � <br /> 4. <br />,�� <br /> J:�;`7� <br />� �@ <br /> 6 <br /> `�• � � <br />''-� <br /> ,Y <br /> :� <br /> G <br /> i <br />