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2 5 O"Mmont of the Treasury • l"Mmm no"" serms <br />(Rev 0wome w'Mi <br />Notice of Federal Tax Llen Under Internal ReMenUe LAWS <br />District <br />,N= <br />Serial Number <br />free f�ilfalraf fJw a>rllaarrtilg arwr. <br />Onaha, <br />479910076 <br />J� 00528 <br />89-1.00528 <br />As provided by sections 6321► 6122► and SM of the Internal Revenue Cods, <br />no** Is 91wn that tams (i IMNwd and psnailiss) haw been <br />assessed paMtsl the I�olbw� Np� taugsglsr. De�lnd fail payrwd of <br />�tl2hlsfr <br />NI <br />In�f�vorotMUaltod Staled own 0 amend <br />N <br />to this taxpayer for the amount oft taxss,,and at peneft <br />interest, and cosh that ttfta2 accrue. <br />Name of Taxpayer MUGLAS. A & SHERYL R DOSS <br />Residence 1505 NEWCASTLE RD 127 <br />GRAND ISLAND, NE 68801. <br />RELEASE INFORMATION: With respect to each assessment listed below, union <br />s refilod by the date given In column (e). this notice shall, on the day following <br />E <br />rew. ais a certificate of release as defined in IRO GM(s). <br />J. <br />Tex Mrbd ` <br />Dale of . <br />Lad Day for : <br />al �alrta <br />Kind of Tex <br />Ended <br />IdentiryMts NwrAw. <br />Asaeesnnnt <br />Itltllling <br />eK "Aafraasstent <br />(a) <br />W <br />(c) <br />(d) <br />reJ. <br />m <br />1040 <br />12/31/87 <br />506 -86- 92;3-5. <br />10/03/88 <br />i <br />11/02/94•, <br />• <br />.: 2749.79 <br />Place of Fling <br />Register of Deeds Total <br />$ <br />Hall County <br />2749.79 <br />Grand Island, NE 68801 <br />f <br />J <br />This notice was prepared and signed at <br />Ogden, OT , on this, <br />the .317th day of January ,19 89 <br />f <br />Signature `J�ca..._ Title Revenue Officer <br />for R !fill f_ <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Notice of Federal Tax lien y ' <br />Rev. Rul. 11-466.1971 - 2 C.B. 409) <br />Part 1- Kept By Recording Office Form �(Y) (Roy. 12-0) <br />" ti <br />