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<br /> Fom+�$ (Y� 2� . .Q�i!q�n�'a4 tt��►Tr.►t�aury-m:crnQl Fteuenue Servtc�
<br /> � `�'.'�. Nat�ef��[Tax�.��Under Internal Rev �
<br /> �;� enue l.aws
<br /> Ser=at Number F������ �
<br />__� ; Omaha, NE 479QQ0600
<br /> � � w� by ��s��, 6322, ar�d 8323 ot the tcera�At� R�venue
<br /> � �nottc�is ylwn thet taac�s �Et�U�df� tcH�lr�st e�d �rtAttteej hav�
<br /> . b� asMSS�da�in�t tt�s tolfowir�g.��� �� �r, pemand tor p�y.
<br /> ' r�nt of tt�ta f[aWt(ty has beerk rnade br.E i� c�rr������ �Rpald. Theretare, � ; :
<br /> tf�sre Is a.ifsn in tavor of ttae Un.it,�ct ��t�ts�,,g�j,���Qperty and rlghta to
<br /> : ��bstan tn9 ta t�ais f,�t�.aye� fs►�!�q,e�mount ot the�e taues, and ��..�QQ��8
<br /> � orsai pena�Eies�I�at�r�t�ertd costs tt�at rnay eccrue.
<br /> ! Name of Ta3c�ayer � ,
<br /> GAAY L' & "I�ll.BZtd� P HOHHHpLT _
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<br /> � ii48ld91►C�+J - �
<br /> � 4015.,�}��T11 DR .
<br /> �_ ., . .. . . C+1��F�::".ISLA�?Ilr� �iE 6980�$ ' �
<br /> j lA�80FT'f�I�l'i`{�ECEJ1��t,�,FpRf,tA�J'lptb:Vl;tit.tq�q�.�p each assessment listed belaw,un- ! s '
<br /> f '�aas noti;.e af Ifen �a rati�6d by tho dat�gn�rn,Ffi•cc�lamn (o), this notice shal►, on the day
<br /> . � �ta1E�w'rng�ua�dgte.t�perate as�c��ific,8te af.raJira��de[inFa3.in IAC 632�;a).
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<br /> � ... : �� r��� � . : Date o! Last Day for tJnpald Balancs
<br /> ,f :;.:t�tnd vf tUt � �fqtici identffying Nuintus�..'..•.�seasment . . .
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<br /> ' 1Qa� aZ/31/6 506-50-1398 06�'05/99 07/OS/9 . ,,.
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<br /> � 1613.6 4 ' ,% i ,
<br /> , 10•�(�' :�' t2�31/8 506-50-1396 06/OS/89 09/OS/9
<br /> " 12 78.47 '
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<br /> ��gister of Deeds Tot�t .. .
<br /> Hail Cotanty � �
<br /> � Grand I�land NE 68801 2832• it
<br /> i This not�ce v�as prepared ar,d signed at
<br /> . on this,
<br /> � th9 -4p�.i�,day ot ad�;,.�=y 19��n �
<br /> � Sic�nature
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<br /> for ACS -Phone- -800-ZZ�-g938 �evenue Off�icer � � - • �
<br /> (NOTE:Cert;ficate�f oN�cer authorize�by lax lo take ackno;,ledgmen!,��r.o.es;e•�t•,��rs ��,- •,�•:.�,;y 41 ho�o�'of 0000T`tx i�r.n
<br /> � F�ev. Rui. 7t-366. 131s -2 C 6.409) •
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