|
<br />,,";
<br />
<br />\-;::. (,,,
<br />
<br />~. 1 ~
<br />
<br />r flo,," sealY)
<br />
<br />(Rev. Oecombtr 1m)
<br />
<br />Departm.nt ot tM TfHIUIY . Intemal R4tHflu. ..rvIoe
<br />, ,/":, '~"~,j~},~.{, .':', , .:
<br />'.Nptlceqf:F:eiteral T~x Lien Under Internal RevlnulLaws .'
<br />
<br />1
<br />
<br />~;:. Omaha,
<br />
<br />
<br />Serial NuroJ~er
<br />
<br />478803518'
<br />
<br />
<br />~
<br />
<br />District'
<br />
<br />Aa pro~8d~ by 'eCtlon:J~321, ;1322. .nd 8323 of the Intemll Revenue Code,
<br />notice I,':glven that tex.. (Including Inte....tlind penlltlH) have been
<br />....aHd8g.ln.t the following-named t.Xp.lY"~' Dem.nd for payment of
<br />thlt ,liability h.,.".", mlcle.buUt "main. u.,pal4 Therefore, there I.. lien
<br />In f.vor of the U.,.lted.Stat.. on.II'proaerly and'rlghll to property belonging
<br />to thl. t.x,.yer 'or the .mount of the. t,xu; Ind Iddltlon.1 pen.It...,
<br />Inte....t, .nd COItI th.t may accrue. II" .
<br />
<br />Name of Texpayer TRACIE TODSEN
<br />TINY TOT MANOR
<br />
<br />.
<br />
<br />')~1 1. O~4CO
<br />~Je- :.: v
<br />
<br />Oil'
<br />
<br />~~-~~
<br />
<br />Residence
<br />
<br />120 S. CLEBURH
<br />GRAND ISLAND, HE 68801
<br />
<br />~- .- I>' < , . < , . ' " , '.1 ...." ", .
<br />IMPO.RT ANTREL~SE INFORMATION: With re~pecttoeach aI..llment lilted below, un leu
<br />notlee,of IIln II reilled by the datl,glvln In column (e), this notice shall, on the day following
<br />such date, o~r.t.... certlflcat. of release as defined InIRC,6325(a).
<br />
<br />
<br />Idenllfylng.Number
<br />(e)
<br />
<br />'~'Ui. Dar for
<br />. Refill",
<br />(e)
<br />
<br />................
<br />of AI.......II
<br />(f)
<br />
<br />
<br />940
<br />
<br />12-31-87
<br />
<br />47-0666922
<br />
<br />3-07"88
<br />
<br />4-06-94
<br />
<br />267~8B
<br />
<br />I', :~
<br />-",
<br />
<br />Place ofFI!lng
<br />
<br />Register of Deeds
<br />Hall County
<br />Grand Island, HE 68801
<br />
<br />To'"
<br />
<br />$
<br />
<br />421.67
<br />
<br />Omaha, NE
<br />
<br />This notice was prepared arid' sighed at
<br />
<br />. on thl..
<br />
<br />the
<br />
<br />12th May a8
<br />dQYOf~ ,'9 . .'
<br />. _{ tj
<br />Signature ...J'C~"""\ ~ lIS r Iille
<br />for Kay Pon...,. (PK) __.
<br />47 - 0 1 - 11 36 ___
<br />
<br />(NOTI!: Corllflceto of officer Cluthorlzlld by law to take aCknowledgments Is nol ellenUsl to the vlllldlty 01 Notice ot Federal TalC lien
<br />Rav. Ru!' 71-468, 1971 . 2 C.B. .cOO)
<br />
<br />Revenue Officer
<br />
<br />Form UI(Y) (R~. tN51
<br />
<br />Part' - Kept By Recordil1g Office
<br />
<br />~",...".
<br />
<br />L
<br />
<br />L
<br />
<br />--1
<br />
|