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<br />, '; ,O..,.rht..nt of the T......ury ~ Internal Revenue Service
<br />"
<br />
<br />
<br />Serial Number
<br />
<br />, Noll~eof Federal Tax Lien Under Internal Revenue Laws
<br />
<br />FDl'OpfloMl.UNby R~ 0ffI0e
<br />
<br />(AllY. ~be' 18M)
<br />
<br />
<br />478802144
<br />
<br />'Aa ~lcIijt byncllonl 8321, 6322, and 6323 oUh.lntemal Rev.nu. Code,
<br />no~'. I.~.tven thai tax.. (Inclu~lng Int,erHt' and penlltln) hav. IM.n
<br />',; .'HI!edJgalnat, the:f~lowlnl.nan'Mtd tapa,.... Demand for payment of
<br />Ihllllabl'''-'''' been made. built remain. uripalG. TherefoN. there II a Uen
<br />! ,In,fnor oflhe United ItatH On all properly and rlihta to property belonging
<br />to ~I. tu,.,., for th." amount of IhH' tax", an'd additional penaltl.l,
<br />In~ancI COtta tMt ma, Keru..
<br />
<br />
<br />Name of Tupayer TRACIE ANN TODSEN
<br />TINY TOT MANOR
<br />
<br />R,aldence
<br />
<br />P.O. BOX 700
<br />GRAND ISLAND, NE
<br />
<br />68802
<br />
<br />,IMPo.RTANTRe~SE INFORMATION: With respect to each assessment listed below, unless
<br />notice of lien I, reflled by the date given in column (e), thl. notice shall, on the day following
<br />.uchd.... ~ . . certlflcat. of releale .. defined in IRe 6325(a),
<br />
<br />" , TaPertod Dlt. of Lat DIY for
<br />KtncI of Tu ~', Identifying Number AlHument Retlllng
<br />(.) (b) (e) (d) (e)
<br />1040 12 -31,:-85 505-94:-0124 7-28-86 8-27-92
<br />
<br />:-,..;
<br />
<br />
<br />
<br />
<br />Register of Deeds
<br />Hall,County
<br />~ran~ Island, NE 68801
<br />
<br />Total
<br />
<br />, ..
<br />
<br />; , ji"lInollcewu prepared Ind Ilgned at
<br />
<br />O.aha, NE
<br />
<br />. on this,
<br />
<br />. ~:t
<br />
<br />1st
<br />
<br />April
<br />
<br />88
<br />
<br />the
<br />
<br />
<br />Title
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<br />
<br />88-101738
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<br />Unpaid Blllnce
<br />of AuHament
<br />(f)
<br />822.34 tj
<br />
<br />.
<br />
<br />822.34
<br />
<br />Revenue Officer
<br />
<br />(110ft: Ceftillclite of otflcef .uIhoflzed by "w to taIle acknowledglMn" ia nol....nUII to the \/llIdlty of NotIce of Federal Tax Iiln
<br />Rev, Ruf. 71....... '11T1 - 2 C,8, 401)
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<br />Part 1 . Kept By Recording Office
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