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<br />25 <br /> <br />Department of the Tressury . Inlernsl RevElnuo Sorvlco <br /> <br />--100730 <br />88~ <br /> <br />I" <br /> <br />-::;68(V) I <br /> <br />(Rev. December 1985) I <br /> <br />District <br /> <br />Notice of Federal Tax Lien Under Internal Revenue Laws <br /> <br />Serial Number <br /> <br />FOf Option.' U.e by R~rd'ng Office <br /> <br />.,~ <br /> <br />Omaha, NE <br /> <br />478800738 <br /> <br />As provided by sections 6321, 6322, and 63:lS of the Internal Revenue Code, <br />notice Is given that taxes (Including Interest and penalties) have been <br />assessed against tha' followlngGnamed taxpayer. Dema~d for payment of <br />this liability has been made, but It remains unpaid. Therefore, there III a lien <br />In favor of the United States on all property and rights to property belonging <br />to this taxpayer for the amount of these taxes, and additional penalties, <br />Interest, and costs that may accrue. <br /> <br />Name of Taxpayer <br /> <br />MICHAEL & MARNA CLARK <br />MICHAELS FLORAL & GIFT <br />Residence <br /> <br />115 W. 3 RD <br />G RA N D IS; LAN D. N E n 880 1 <br /> <br />IMPORTANT RELEASE INFORMATION: With respect to each aasessment listed below, unless <br />notice of lien Is reflled by the date given in column (e). this notice shall, on the day following <br />such date, operate as a certlflcst9 of release as defined in IRC 6325(8). <br /> <br />4-15-83 <br /> <br />5-15-89 <br /> <br />Unpaid Balance <br />ot AIHa.ment <br />(f) <br /> <br />1457.64 <br /> <br />Kind of Tax <br />(a) <br /> <br />940 <br /> <br />Tax Period <br />Ended <br />(b) <br /> <br />12-31-79 <br /> <br />Identifying Number <br />(c) <br /> <br />47-0579886 <br /> <br />Date ot <br />Assessment <br />(d) <br /> <br />Lalt Day tor <br />Retlllng <br />(6) <br /> <br />,...1 <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall County <br />Grand Island, NE 68801 <br /> <br />Total <br /> <br />$ <br /> <br />1457.64 <br /> <br />This notice was prepared and signed at <br /> <br />Omaha, NE <br /> <br />, on this, <br /> <br />Signature <br /> <br /> <br />for ACS <br /> <br />Title <br />938 <br /> <br />Revenue Officer <br /> <br />the <br /> <br />(NOTE: Certificate 01 offlcer authorIzed by law to take ecknowledgments is not essential to the validity 01 Notice 01 Federal Tax lien <br />Rev. Ru!. 71-466, 1971 - 2 C.B. 409) <br /> <br />Form 868{Y) (Rev. 12-85) <br /> <br />Part 1 - Kept By Recording Office <br /> <br />L <br /> <br />L <br /> <br />-.J <br /> <br />( <br />>- <br />