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09:25 FAX 14024714429 NEBRASKk I!CC <br />x005/006 <br />01'2000 <br />Date of <br />Assessment <br />d <br />v <br />59787 <br />Deper "ment of the Treasury Internal <br />_ <br />III�i�Ill urtl I <br />Form 668 (Y)(c) <br />- Fever <br />In'1rll <br />11/28/2011 <br />1984,30 <br />.noes, 2ma: <br />Notice of Federal Tax Liel <br />336 -28 -7968 <br />10/29/2001 <br />l��i'•�I�illll'pl+'I <br />3839.08 <br />9aaBA24ag_a �' <br />5243 <br />S,IAi,L RUSINES3 /SELF EMPLOYED AREA Zg <br />Lian <br />Serial Number <br />Uml Phan.: ;4141 257 -3211 <br />390365231 <br />e,RN! <br />ryte: <br />As provided by sander 6321, 632Y, and 6323 of the Internal Revenue <br />pl, lo;poae say qp <br />Code, we are giving A E i(e that tares (including interest and penffiies) <br />have been assessed against the f)llowing -named taxpayer. We have made <br />a demand far payment of this Ifabgity, but It remains unpaid, Therefore, <br />(here Is a lien in favor of the United States on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />Additional. penaltim, Interest, and costs <br />that may accrue. <br />- Name of Taxpayer PEARL FAR_Xj <br />i <br />()0030APe1s9 <br />FiV v7V VJYt3 <br />.Residence 1012 CENTENIAL TOWERS <br />1 GRAND ISLAND, NE 68803 -0000 <br />I <br />rFMPORTAWT RELEASE INFORMATION: car each sesesament listed below, <br />ess rel, of he lien Is m iied by the date given in column (e), this notice shall, <br />the day foilawin, such det.....rata ea a certificate of release IOC 5325(.). <br />Kind of Tu <br />Taut Period <br />Ending <br />Identifying Number <br />c <br />Date of <br />Assessment <br />d <br />Last ppaayy for <br />Re_W f <br />(e <br />Unpaid Raison. <br />of Assessment <br />1040 <br />12/31/1993 <br />336 -28 -7968 <br />10/29/2001 <br />11/28/2011 <br />1984,30 <br />1040 <br />12/31/1994 <br />336 -28 -7968 <br />10/29/2001 <br />11/28/2011 <br />3839.08 <br />Register of Deeds Total I$ <br />5982.38 <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed At MILWAUKEE, Wi <br />- —. on this, <br />the 07th day of January 20C3 <br />Signature <br />�6/A ` ACS 14 -00 -001;0 <br />(800 829 -7650 <br />(NOTE Ce care of Om c.' by law to take acknoMed9ntent IS not essential to the validity of Notice of Federal Tav lien <br />Rm. sul. 71-466, 1971 -2 C.B. 409) <br />Part t - li By Reroralae Ole. Form 660(Y)(c) (Rev. 10-00) <br />CAT, NO E0025X <br />