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FWMWWW cast <br />2 s , w Oepeti�ettt of tfte Tfeeeurr • tnMfnN fftlarenw fatitoe <br />(Rev DwA mber IMi <br />No—fl Hof federal Tex Lien Under Internal Revenue Laws <br />District <br />Serial Number <br />F&V 0~ UN A INFAW00110 <br />Omaha, NE <br />478910450 <br />As provided by sictiosn 4U1, GM Ind 63231 of U* Internal Revenue Cods, <br />nolko is 11M the t"" (Iffolm" 'InIN and pumN s) hero been <br />aeeeae.d'aoalftat the follorrie�rtsmsd taxpays► Oatrtend for pop"* of <br />4 <br />this Ilabli ty ha been ttttade, but It ream" unpaid. Therefore, there Is a lien <br />the <br />In terror of Unitwsl Beaten on afl opury andrfiohls b <br />to this taxpayer for the M thseii taxse, <br />amount aAd <br />Inferaet, and costs #M nliey accrue. <br />4 1 Q <br />Name of Taxpayer ROBERT A. PETERSON <br />PETERSON TRUCKING -. <br />e <br />Residence 3624 E BISMARCK <br />GRAND ISL&1f17,-, PIE 68801 <br />IMPORTANTFtELiEE1SEiNfORMATION: With + cttoeacha ssessmentlisied below. unless <br />nptiCgc;;)Irin is fifff4d by *&tie date giyan In cot;;Txt (a), thla notice shalt, on thrr day fatlWaing <br />s r! operate ae acertificate of release a ddlned in IRC GM(a). <br />Tar Period <br />Date of <br />Lmt Day for <br />IJnpald Mime <br />Kind of Tax <br />Ended <br />IdentilYli*lAtlraMv <br />Assesammt <br />RetNUp <br />of AseeeIIIIIIIeet <br />W. <br />lb) <br />(c)` 1., ;> <br />(d) <br />ifs) <br />Tn <br />941 <br />03/31/85 <br />47- 066.1,653 <br />03/30/87 <br />04/29/93 <br />'., 1127.79 <br />941 <br />06/30/85 <br />47 -045IT -6:053 <br />03/30/87 <br />04/29/93 <br />' 1060.41 <br />941 <br />g9i/30/85 <br />47— Ocii,eOO53 <br />03/3M`/" 7 <br />04/29/93 <br />", 27 78:�PT• ". <br />941 <br />12/31/85 <br />47- 0680053 <br />03/30/67 <br />04/29/93 <br />499- TT <br />w. <br />Place of Filing <br />Register of Ueieds Told <br />$ <br />Hall 6aunty <br />5466*74',, <br />Grand Island, NE 1idsol <br />This rxficea wras prepared and signed at Onah'} F NE , on this. <br />the 23rd dayof Pebruary19 8% <br />Signature ' Title Revenue Offi -ber <br />for Ray Ponte.i 47 -0.11-1135 <br />(NOTE: Corti r,Cate of officer authorized bylaw to take acknowledgments is not 0113ential to the validity Cf.14*0ea of Fodalal Tax lien <br />Rev Rtil. 71-466. 1971.2 C.B. 409) Part 6UM few. feast <br />Pa►t 1 •Kept By Recording Office <br />h_ <br />r� <br />1 <br />L <br />4 <br />,i <br />,i <br />e <br />1 <br />h_ <br />r� <br />1 <br />L <br />