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<br />FORM 669.C <br />(Rev. Augull 19831 <br /> <br />DEPARTMENT OF THE TREASURY - INTERNAL REVENUE SERVICE <br />CERTIFICATE OF DISCHARGE OF PROPERTY FROM FEDERAL TAX LIEN <br />(Se.. 6325(bX2XBl of lhelntemal Revenue Codel <br /> <br />I <br /> <br />88-100189 <br />l <br />. City of Grand IsI~nd <br /> <br />L. William Kelly III <br /> <br />Of <br /> <br />WHEREAS, <br />3025 Stolley Park Road #141 <br /> <br />County of <br /> <br />Hall <br /> <br />. State of Nebraska <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 />KIND OF TAX ASSESSMENT DATE IDENTIFYING HUMIIER UNPAID IIALANCE <br />TAX PERIOD ENDED OF ASSESSME,NT <br />(0) (b) (e) (d) (e) <br />1040 12/31/86 06/01/87 506-60-6678 1,025.82 <br />1040 12/31/85 06/09/86 II II 3,214.97 <br />1040 12/31/84 06/03/85 II II 463.01 <br />1040 12/31/83 08/13/84 II II 128.90 <br />1040 12/31/82 03/11/85 II II 2,450.88 <br />1040 12/31/81 02/18/85 II II 4,361.22 <br />1040 12/31/80 10/29/84 II II 3,774.15 <br />NUTE: Th1.S 1.S a d1.scharge ot only the property listed below S <br />and is not a release of the lien. TOTAL 15,418.95 <br /> <br />WHEREAS, to secure the collection of said tax, notice of the lien of the United States, atta~hing 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 />fll~kIt <br /> <br />. in accordance with the ap~licable provisions 01 law. <br /> <br />WHEREAS, the lien of the Umted States, Federal Number 478600195 <br /> <br />, 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 66&-C (Rev, 8.831 <br /> <br />L <br /> <br />L <br /> <br />L <br /> <br />1:..:_\ <br /> <br />;j- <br /> <br />1: . <br /> <br /> <br /> <br />r- <br /> <br />LI <br /> <br />, ~ <br /> <br />-.J <br /> <br />I <br />r <br />l">" <br />