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I . 25 QlIJlllltment of the Trlllllury . Internal RIVlmue SorvlclI Form 66'(Y) (Rev, December 1965) Notice of Federal Tax Lien Under Internal Revenue Laws District Serial Number For Optlonlllll" by Recorrllnl1 Off/co Omaha, NE 478801114 88_100837 AI provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, notice Is glv8n that taxes (InCludlp, I,ntereat,and penalties) have been aelesled against the following-name texpayer. Demlliild for payment of this liability hal been made, but It remains unpaid. Therefore, there II a lien In favor of the United States on all pro~erty and rights to pro~erty belonging to thll taxpayer lor the amount of t ese taxes, and oddlt onal penaltlel, Interelt, and COltl that may accrue. Name of Taxpayer MR. PRO LUBE INC. a Corporation , Residence 204 EAST 2ND GRAND ISLAND, NE 68801 IMPORT ANT R~LEI\SE INFORMATION: With respect to each assessment listed below. unless notice of lien Is reflled by the date given in column (e), this notice shall, on tha day following such date, operate all a certificate Of release as defined In IRC 6325(a), TexPerlod Date of Lelt Day for Unpaid Balance Kind of Tax Ended Identifying Number Aaseaament Reflllng of Ala.ssment (s) (b) (e) (d) (e) (f) 941 3-31-87 47- ? 6-15-87 7-15-93 245.85 . Place of Filing Register of Deeds Hall County Total $ 245.85 Grand Island, NE 68801 Omaha, NE , on this. This notice was prepared and signed at the Revenue Officer Signature Title 38 (NOTE: Certificate of officer authorized by law to take acknowledgments Is not essential to the validity of Notice of Federal Tax lien Rev, Ru!' 71 -466, 1971 - 2 C,B. 409) Form S68(Y) (Rev. 12-85) Part 1 - Kept By Recording Office L I 1 ".~ >'~ ) .. " ..,..1 J J ~_.---- ~ ;:"If: ,'1 . '.f "-j ~ ~i (.. .",