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- I ,_:���� <br />��=� �.:�. <br /> �..�: ►- � <br />;; <br /> ; � <br /> iFofm 668�� DEPARTMENi OF THE TfiEASURY—INTEHNAL NEVENUE SEkY'ICE � For Opfional Use 6y Recording Office � � � <br /> �aEv.�o��i1 NOTICE OF fEDERAI TAX LIEN UNDER INTERNAL REVENUE tAWS <br /> `;`Y DISTRICT SERIAL NUMaER <br /> � ; Omaha, Nebraska 30988 <br /> : 3 <br /> � ' Pursuant fo the provisions of Sections 6321,6322,and 6323 of the Internal Reve- <br /> -r? nue Code, notite is hereby given that there have 6een assessed under the Infernal <br /> '`k Revenue laws of the United Slotes against the following-named taxpayer,taxes�includ• <br /> ' i, ing inlerest and penalties�which after demand for payment Ihereof remain unpaid,and <br /> that by virtue of Ihe obove•mentioned statufes the amount of said taxes,togelher with <br /> penalties,interesf,and cosh}hat may accrue in addition fherefo,is a lien in favor of <br /> . the Unifed States upon all property and rights to properfy belonging to said taxpayer. � � . � - <br /> ' NAME OF TAXPAYER <br /> `4� Galen L. & Janice Ho££man <br /> RESIDENCE <br /> ,s;; 3425 Primrose Drivc; ' <br /> S';' Grand Islanl, Plebraska 6ca01 <br /> ' { KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFlING NUMBER OF A'SDSESSMENT <br /> �'': lal (bl I�l Id) le) <br /> 1040 1?_-31-75 G'7—i2_76 501�—Y�'-21�1 ��4.,457.7? <br /> �; � � <br /> .,� <br /> 7b. pp649 <br /> M; <br /> �r'� <br /> � <br /> ,;� <br /> ;i <br /> �{{ <br /> AS <br /> ' PLACE OF FILING <br /> ��1 � �.9�;1St�T' Of i�:C��iS . <br /> COUt"ltY OY }i�:I.l TOTAL Sl{.�i+j7.79 <br /> Grar.d Island, Plebraslc� 6�'�Ol <br /> �'d WITNE55 my hand at 1T'�'n� ISL?rid� !�i?rIT'�51;� <br /> ,on this, <br /> } <br /> s: <br /> �he�day of'v`nvembnr, 19_7� <br /> s` SIGNATURE �J/ /J �/�� TITLE <br /> �� /v <br /> R. 'r3. Ruffner 't��=enue 0�'+'�.c�r <br /> (NOTE:Certifimte of oRicer authorized by law to take acknowledgments is nol essential to Ihe vahdity of Notice of federal Tax lien G.C.M. <br /> 26419,C.B. 1950-51,125.) <br /> ' PART t-To be refainod by recording offico <br /> �' <br /> I <br /> -:',_;�',. <br /> ev ::,, <br /> L� L� � z � <br /> �• <br /> r <br />� � ' <br />-tiic tt7 <br />�� -. <br />�_ <br />�;f <br /> T; <br /> L' <br />_� � � � <br /> , <br />