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<br />DeputIMnt of tIw T..-urr . InlerMl RMnue IenIoe
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<br />DJ'~rlct
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<br />,-, ,::Notlce ef-llileral Tax Lien Under Internal Revenue..,Liws.
<br />,.'- '--- - .',. , Serial Number
<br />:'.I'~.. !
<br />
<br />For 0pfI0MI ...",,,...,.,.,,,~
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<br />88~ 10a68,'
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<br />IRw. O_ber 1te5)
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<br />As ~rdv,' Idiby _t~o. n.: 8321, 8322, ~nd 83~,' ot.,...;I, ntemal Revenu.,~, e,
<br />not~:: I. ~glven that toe. (Including Intereot".nd INn.IIIH) have' been
<br />.......d {.g.'n.t the followfng-n.med tu.,.,..... Demend for pa,ment of
<br />thl. ,1I.bll", h.. been m.de, bu' It remain. uripald~ Th.~fore, the,. 1,:.,lIel.'
<br />In favor ofth. UnRed,'''t.. on .,1 property .nd rtghtl to property belonging
<br />to thl.' toparerlor the .mount 01 'theie taxe., and addition. I pen.ltl...
<br />interell, and cOIta that ma, accrue.
<br />
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<br />478805934
<br />
<br />, Name of Taxpayer
<br />PERSONAL BOME CARE SERVICE OF GRAND ISLlND INC., a Corporati.on
<br />KIM STOTZMAN PRES.
<br />Residence
<br />
<br />1811 W 2ND ST. * 324
<br />GRAND ISLAND, HE 6ge03
<br />
<br />,
<br />
<br />'iMpORTAl'iITfll~LEASEI,~FORMA TION: With reapecUQeach anesilment IIsttK,ibelow.~nJ818
<br />n~!c:e ofUel1Jueflledbythedate given In column (el. this notice shall. on the day following
<br />such datei'operate.. 8 certificate of release as defined InIRC8325(a). .,
<br />
<br />. -,' .. ~'. ' , -, , " '. 'r~,
<br /> TuPartOd ,I' IdenU,ylngMaimber D". of' ....t Day for
<br />K1ndo'Tn EnCl" 'd AHHimeni Reftllng
<br />(a) (b),,"'.,". (e) (d) (e)
<br />941 12-31-86- 47-0698609 5-04-88 6~03-94
<br />941 3-31-~7 47-0698609 5-04-88 6-03-94
<br />941 6:",30-87 47-0698609 5-04-88 6-03-94
<br />9.4,' 9-3f)~87, 47-0698609 ~-O4-88 6-03-94
<br />941 12-31-87 47-0698609 5-04-88 6...'03-94
<br />941 3-31-88 47-0698609 5-04"88 6-03-94
<br /> ,
<br />
<br />Place of Filing
<br />
<br />Register of Deeds
<br />Hall County
<br />Grand Island, NB 68801
<br />
<br />Total
<br />
<br />This notice was prepared and .Igned at
<br />
<br />Omaha, HE
<br />
<br />. on this.
<br />
<br />h ~Othd f June 1LJ, 88
<br />te ay .. ~
<br />...Jv:~<:: '
<br />
<br />Sign Btu re ~ JTltlB
<br />
<br />for Kay Ponte (PK)
<br />41-D1-1136
<br />(HOTE: Certtrlcate of officer authorized by law to tllke IIcknowledgmentl II not ellenUal to the vlIlIdlty of Notice of Federal Tax lIan
<br />RlIY, Rul, 71-488, 11171 - 2 C,B, 41l9)
<br />
<br />Unpald.~
<br />0' AI....ment
<br />(f)
<br />
<br />1 6 1 '27 . 3 ,"
<br />5584.74
<br />3416.37
<br />3020.35
<br />3502.38
<br />3196. 19
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<br />.
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<br />.J
<br />
<br />$
<br />
<br />34847.34
<br />
<br />Revenue Officer
<br />
<br />J
<br />
<br />Part 1 - Kept By Recording Office
<br />
<br />Form I88(Y) (Rev, 12-85)
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