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<br />I <br /> <br />FC\r1ft 668(Y) <br /> <br />25 <br /> <br />Oep,rtment of the Tre..ury . Intem.1 RIlYlnUI Service <br />'_f; <br /> <br />i <br />=' ) <br /> <br />(Rev. December 1985) <br /> <br />NotlceofFe,deral Tax Lien Under Internal RevenueLaws <br /> <br />I <br /> <br />District <br /> <br />Serial Number <br /> <br />Fer OptJonllI u~ by ReCordIng Olflce <br /> <br />;"'-') <br /> <br />Omahil, NE <br /> <br />478801645 <br /> <br />AI provldcijlby .ectl"ns 6321, 6322, and 6323 of.~~e Inlernal Revenue Code, <br />notlcels."IYe~:.lh~; I.axes (Including .lntere.l. and penalties) h.velMten <br />....ntd.....lnst Ihe followlng-n.med I.xpayer: Oemand for payment of <br />this II~blllty ha. been m.de, bul II remelns unp.ld; Ther.fore, Ihere Is . nen <br />Gn fa,of of.theUnlted SIBte. on an property .l1d rights to property belonging <br />to thl.,taxp.yer for th..mount of these laxes,.nd additional penaltle., <br />Int....~ and coststh.t may .cc:rue. <br /> <br />~:' <br /> <br />88~ 10119'3 <br /> <br />lit <br /> <br />ii' <br /> <br />Name of Taxpayer <br /> <br />JOHN L. WERTS <br /> <br />tal <br /> <br />Residence <br /> <br /> <br />RT 3 BOX 124 <br />GRAND ISLAND, NE 68801 <br /> <br />,~ <br />J <br /> <br />IMPORTANT RELEASE INFORMATION: With respect to each aueument lilted below, unl881 <br />notice of lien II Feflled by the date given In column (e), this notice shall, on the day following <br />luch date, operate Bl8 certificate of release as defined in IRe 6325(8). <br /> <br />I" . <br /> <br />KI~dof Tax <br />(a) <br />, "1040 <br />1040 <br /> <br />T.x Period, <br />Ended <br />(b) <br />12-31-81 <br />12-31-82 <br /> <br />Idenllfylng Number <br />(c) <br />508-60...5518 <br />508-60-5518 <br /> <br />Da" of <br />AaMssmenl <br />(d) <br />3-28-83 <br />9-01-86 <br /> <br />Last Day for <br />Reflllng <br />(a) <br />4-27-89 <br />10-01-92 <br /> <br />Unpaid Ba"~ <br />of AIIlllllment <br />(f) <br />613.85 <br />406.52 <br /> <br />'-) <br /> <br />~>1 <br />"';.r <br /> <br />'~- -.l <br /> <br />tJ <br /> <br />'':.J <br /> <br />.j <br /> <br />Place of Filing <br /> <br />., <br /> <br />Reqister of Deeds <br />Hall County <br />Grand Island, HB 68801 <br /> <br />Total <br /> <br />. <br /> <br />1020.37 <br /> <br />Omaha, NE <br /> <br />v <br /> <br />This notice. was prepared and signed at <br /> <br />, on this, <br /> <br />the <br /> <br /> <br />for ACS -Phone-1-8 <br />47-01-0000 <br /> <br />Revenue Officer <br /> <br />Signature <br /> <br />fj <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgments Is not essential to the vslldlty of Notlca of Federal Tax lien <br />Rav, Rul. 71-486, 1971 - 2 C.B. 4(9) <br /> <br />Part 1 - Kept By Recording Office <br /> <br />Form 661(Y) (Rev, 12-85) <br />l,..) <br /> <br />u <br /> <br />L <br /> <br />L <br /> <br />~ <br />