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c ; <br />' � � � � <br />� <br /> � � � <br /> � FOfm GbB DEPARTMENi OF THE TREASURY—INTFFNAL REVENUE SEfVICE For Opiional Use 8y Remrding O�ce <br /> ' iaev. ioai� WOTKE OF FEDFR X UEN UNDER INTERNAI REVENUE lAWS <br /> DISTRICT SERIAL NUMBER <br /> Omaha, Nebraslca 30477 <br /> Purs�ant to the provisions of Sr.ctions 6321,6322,and 6323 of the Internal Reve• <br /> nue Code, notice is hereby given thah there have been assessed onder fhe Internal <br /> Revenue laws of the Unifed States Qgainsf tbefA�bwing�amed mxpayer,tazes(indud- <br /> ing interest and penal}ies�whicft dffei demand fnrpd'yhi�nf fhereof remain unpaid,ond <br /> fhot by virtue of Ihe above-mentioned stafutes ihe amount of said taxes,together with <br /> penalties,interest,and cosls ihat may aarue in addition thereto,is a lien in favor of <br /> ihe Unifed Staies upon ul,property and righfs fo property belonging to said taxpayer. <br /> NAME OF TAXPAYER <br /> Ra J. Beran <br /> RESIDENCE <br /> 2307 Arrov�head Road <br /> Grand Island Nebraska 6$$O1 <br /> UNPAID BALANCE <br /> KIND OF TAX TAX FERIOD ENDED DATE OF ASSESSMEfJT IDENTIFYWG NUMDER OF ASSESSMENT <br /> {a� �b) (�� ��) (�) <br /> 5 <br /> 941 12-31-73 o�.-i9-7F� 5o�-zo-;000� yz,5o9.5$ <br /> ; �b, �p,3� H <br /> ; <br /> s <br /> <. <br /> ` � <br /> � <br /> � PLACE OF FILING Register of Deeds <br /> < County of Hall TOTAL 5 2 509.5$ <br /> � Grand Islarr], �;ebrasica 6$£?Ol ' <br /> r <br /> WITNESS my hand ot Grand Is�afld� 'lebrz�}Sa ,on this, <br /> the�day of Junc , 19�6 <br /> , SIGNATURE �,/� ,���,L%/�L�`� TITLE <br /> , R. 'B. Ruffner Revenue Officer <br /> �NOTE:Cerlificote of o�cer outhorized by law lo toke acknowledgmenls is not esvntial lo the validity of Nolice of Federal Tax L�en G.C.M. <br /> , 26419,C.B. 1950-57,125.) <br /> PART 1-To bo rotained by recording office <br /> ! .r. <br /> N' <br /> � � � � <br /> n ' <br /> � <br />�. � <br />�: <br />,;``� <br />�,�� �� � � <br /> � <br /> F <br />