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I ..�V�J:! <br />;, �� � � <br /> �. � _ � <br /> Form 668 DEPARTMENT OF THE TREASURY—INTERNA�REVENUE SERYICE Far Opfional Usc By Recording OFice � <br /> ' (aev. ioai) NOTICE OF FEDERAL TAX LIEN UNDER INTERNAL REVENUE LAWS <br /> DISTRICT , SERIAL NUMBER 30631 <br /> Omaha Nebraska <br /> Pursuant to ihe provisions of$edions 6321,6322,and 6323 of the Internal Reve- <br /> nue Code, notice is hereby given that fhere have been assessed under the Internal <br /> Revenue laws ef ihe United States ac�ainst the foltowing•named taxpayer,taxes�includ• <br /> ing inferest and penalties�which pFfer demand for payment ihereof remain unpaid.and <br /> fhat by viriue of ihe abov�mentioned statutes ihe amounf of said taxes,together wi�h <br /> penallies,iMerest,and cosis that may accrue in addition fherefo,is a lien in fovor of <br /> }he United States upon all property and rights to prop2rty belonging fo said faxpayer. <br /> NAME OF TAXPAYER <br /> Hubert K. Rookstool <br /> RESIDENCE 22/�. y,lpst 3� <br /> Grand Island, Nebraska 6$$O1 <br /> UNPAID BALANCE <br /> KIND OF 7AX TAX PERIOD ENDED DATE Of ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT <br /> laJ l��l 1�1 Id) 1�1 <br /> n. ; 1040 12-31-73 12-01-75 505- -3333 1o9h.56 <br /> T 1040 12-31-74 12-0$-75 505-6$-3333 240.24 <br /> � <br /> .: ; <br /> �b' ��A3 <br /> , <br /> � <br /> �: <br /> � <br /> � <br /> z P�nCe oF FiuN� Register of Deeds <br /> County of Hall TOTAL 5 1336.g0 <br /> Grand Island, Nebraska 6$$O1 <br /> i <br /> WITNESS my hond or Grand Island Nebraska ,on this <br /> . the��h day of All�115t , �9 76 <br /> SIGNATURE 71TLE <br /> ,�. u � <br /> L le D. Metz er Revenue Officer <br /> (NOTE:Certificale of officer oulhorized by law Io lake acknowledgments is not essential to ihe validify of Nofice of Federal Tax Lien G.C.M. <br /> � 26419,C.B.1950-51, 115.) <br /> PART 1—To bo retainod by recording offico <br /> i .� <br /> �";..�.;:' <br /> N"<J <br /> �. � L� � � �.�:�. <br /> C:. <br /> � :. <br /> iQ <br /> th <br /> L <br />�. <br /> zi[ � � J <br />`G <br />.t <br /> t` <br /> i# <br /> f <br />