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<br />Ir <br /> <br />-"--'; . <br /> <br />, ' <br />;-; f. ',..,', "'..~. ; r; <br /> <br />Form 668(Y) <br /> <br />25 <br /> <br />'"' 'd {'.I Department of tn. Tr8lllury - Internal Revenue Service <br /> <br /> <br />(Rey, Oe<:ember 1985) <br /> <br />Noti~,::~f Federal Tax Lien Under Internal Revenue Laws <br /> <br />. , ' Serial Number For Optfonlll UN by R<<:ordfng Offl~ <br /> <br />5'\ <br /> <br />l <br /> <br />District <br /> <br />Omaha, HE <br /> <br />, <br /> <br />478800529 <br /> <br />Ae provlde:d by sections 6321, 6322, and 6323 of the Internal Revenue Code, <br />notice lagl"en that taxes (Including Intereli and penamea) heve been <br />.1I"aled again It the followlng-nom.a taxpayer. Demand for payment of <br />thl, lIabllllY hal been Inad., but It remains unpaid. Therefore, there II a lien <br />In favor of the United Statel on all property and fight. to propsrty belonging <br />to this taxpayer for the amount of theae texea, and addltlonal penaltlea, <br />Interel1, and costa that may accrue. <br /> <br />"'i <br /> <br />} <br /> <br />Name of Taxpayer <br />CROUSE, JOHN c. <br /> <br />Residence <br /> <br />4300 W CAPITAL <br />GRAND ISLAND, NE 68801 <br /> <br />IMPORTANT RELEASE INFORMATION: With respect to each assessment listed below, unless <br />notlcEI of lien Is reflledby the date given in column (e), this notice shall, on the day following <br />such datil, operatess s certificate of release as defined in IRC 6325(a}. <br /> <br />, ' , , <br /> Tax Period Date of Lut Day for Unpaid Balance <br />Kind of To Ended Identifying Number Aneurnent R.flllng of Aueolment <br />(8) (b) (c) (dJ (8) (f) <br />6672 6-30~82 485-36-0386 5-07"84 6-06-90 7190.03 <br /> <br />, I <br /> <br />.L <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall County <br />Grand Island, NB 68801 <br /> <br />Total <br /> <br />$ <br /> <br />7190.03 <br /> <br />Omaha, NE <br /> <br />This notice was prepared and signed at <br /> <br />, on this. <br /> <br />22nd <br /> <br />Signature <br /> <br /> <br />Jan,,_~ary 8~ <br />-~Q.'~,..-: ~ <br /> <br />the <br /> <br />Title <br /> <br />Kay Ponte <br />47-01-1135 <br /> <br />Revenue Officer <br /> <br />(NOTE: Certificate of olflcor authorized by law to take acknowledgments is not essenlialto the validity of Notice of Federal Tax lien <br />Rey. Ru!' 71-<468. 1971 - 2 C,8, 409) <br /> <br />Form 668(Y) (Rev. 12-85) <br /> <br />,,^- <br /> <br />Part 1 - Kept By Recording Office <br /> <br />L <br /> <br />L <br /> <br />--1 <br /> <br />... <br /> <br />e' <br /> <br />~ <br /> <br />L <br />