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<br />DEPARTMENT OF THE TREASURY - INTERNAL. REVENUE SERVICE <br /> <br />FORM 669.C <br />IRev. August 1963) <br /> <br />CERTIFICATE OF DI~H"'RGE OF PROPERTY FROM FEDERAl. TAX LIEN <br /> <br />(Sec. 6325(bX2XBJ of lhelnlemal RelJenue Code) <br /> <br />, 88- <br /> <br />187 <br /> <br /> <br />L. William Kelly III <br /> <br />WHEREAS, <br /> <br />Of <br /> <br />3025 Stolley Park Road Ul41 <br /> <br />, City of Grand Island <br /> <br />Hall <br /> <br />, State of Nebraska <br /> <br />County of <br /> <br />is indebted to the United States for unpaid internal revenue tax in the sum of Fifteen Thousand Four <br /> <br />Hundred Eighteen and 95/100 <br /> <br />Dollars ($ <br /> <br />15.418.95 <br /> <br />lawfully assessed, to wit: <br /> <br />KINO OF TAX ASSESSMENT DATE IDENTIFYING NUMBER UNPAID BAL....NCE <br />T"'X PERIOD ENDED OF ASSESSMENT <br />(a) (b) (e) (d) (e) <br />1040 12/31/86 06/01/87 506-60-6678 I ,025.82 <br />1040 12/31/85 06/09/86 " " 3,214.97 <br />1040 12/31/84 06/03/85 " " 463.01 <br />1040 12/31/83 08/13/84 " " 128.90 <br />1040 12/31/82 03/11/85 " " 2,450.88 <br />1040 12/31/81 02/18/85 " " 4,361.22 <br />1040 12/31/80 10/29/84 " " 3,774.15 <br />NUT~: Th1.S 1.S a discharge of only the property listed below $ <br /> and is not a release of the lien. TOTAL 15,418.95 <br /> <br /> <br />iVHEREAS, to secure the collecticn of said tax, notice of the lien of the United States, attaching to all the <br /> <br />property and rights to property of the said taxpayer on account of said tax indebtedness, was filed with the <br />Register of Deeds <br /> <br />for the <br /> <br />County of Hall <br /> <br />~lI_]gIoor'llKk}(g <br /> <br />, in accordance with the applicable prOVisions of law. <br /> <br />WHEREAS, the lien of the United States, Federal Number 47R727163 . for said tax has attached to certain <br /> <br />property described as: <br /> <br />Lot One (1), TWo (2), Three (3), Four (4), Five (5), and <br />Six (6), in Mehring and Kelly Subdivision, in the City of <br />Grand Island, Hall County, Nebraska. <br /> <br /> <br />Form 669-C (Rev, 8.631 <br /> <br />" <br /> <br />L <br /> <br />L <br /> <br />L <br /> <br /> <br />r--- <br /> <br />u <br /> <br />-.J <br /> <br />l. <br />