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<br />I <br /> <br /> 25 Department ot the Tr9llaury . Internal Revenue Service <br />Form 668(Y) <br />(ROY, Oooombor 16S5) Notice of .Federal Tax Lien Under Internal Revenue Laws <br />District Serial Number For Opt/oMI UB8 by RlICOrrllng Office <br />Omaha, NE 478801049 <br /> " -, <br />Aa crOYldOd by sections 6321, 8322, and 6~23 of the Internal Rovenue Code, <br />not CI Is ~I"en tMt taXElI (Including Interoat" and penalties) have been 100831 <br />.IJliel.ld ~aln.t! tn.,: 'o!l~wlngtnamed' taxpayer. Demand for payment of 88- <br />thll nablllty haBblen made, but It ton'talns unpaid, Therefore, there Ie a lien <br />In fayor of the United Ststo. on all pro~erty and rlghtl to prOf-8rtY belonging <br />to thle taxpayer for the umount of t ,,,.e taxea, and add It onal penaltl.s, <br />interea', and COlt. that may accrue. ' <br />Name of Taxpayer PHILIP D. & LINDA SUE HORAK <br />Residence , <br />RT. 1 BOX 236 <br /> GRAND ISLAND, NE 68802 <br />IMPORTANT RELEASE INFORMATION: With raspect to each assessment listed below, unless <br />notice of lien Isrellled by the date given In column (e), this noilce shall, on the day following <br />such date, oporate 8S 8 certificate 01 reiease as defJned In IRC 6325(a). <br /> Tax Period Date of Lalt Day for Unpaid Beienee <br />Kind of Tax Ended Identifying Number Adeclmenl Reflllng of Alle.lment <br />(a) (b) (c) (d) (e) (f) <br />1040 12-31-86 508-58-6240 6-01-87 7-01-93 633.43 <br /> ., , <br /> I . <br />Place of Filing Register of Deeds <br /> Hall County Total $ 633.43 <br /> Grand Island, NE 68801 <br /> <br />Omaha, NE <br /> <br />This notice was prepared and signed at <br /> <br />, on this, <br /> <br />the <br /> <br /> <br />Revenue Officer <br /> <br />Signature <br /> <br />(NOTE: Certificate 01 officer authorized by law to take acknowledgments is not essentllllto the validity 01 Notice 01 Federal Tax lien <br />Rev, Rul, 71-466, 1971 - 2 C.B, 409) <br /> <br />Form 668(Y) (Rev, 12-85) <br /> <br />Part 1 - Kept By Recording Office <br /> <br />L <br /> <br />"I <br /> <br />l <br /> <br />r-::~:(~ <br />1 ,~-_;. ',;:C; <br /> <br />I ~ <br /> <br />/ <br /> <br />r--- <br /> <br />J' <br /> <br />-.J <br /> <br />~{( <br />;'1 <br />l <br />_I~ <br />,J ~. <br />~, . <br />