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<br />I ,If 1"._..... -
<br />
<br />~,I88(Y)
<br />~ : i /
<br />(~~'Q-.llorllMl
<br />
<br />25
<br />
<br />.. '~.:88 ~ of IIle TIWIUIY .Intemel "-l1li""" ,
<br />_ J.J)!'c.t~f\ Federal T;p Lien Under Internal Revenue,Laws
<br />
<br />479806895
<br />
<br />88-. 10404'4
<br />
<br />91
<br />~
<br />
<br />Dllttlct
<br />..;"
<br />
<br />Omaha ,':'..HB
<br />
<br />..,\,oil' I SerIal NU~be,', r
<br />r,:;:-;~I.'.1!',,;J I ...
<br />
<br />'<<0pII/INII u.",~ om.
<br />
<br />Aa ~I. by MCtIons 8321,1322, MId 1321 oUII.lntemal Ravenue Cod',
<br />notICe': .. ~,IYen, IhiIt ta.. (Including In......"'andpenall...) Mn. been
<br />.......de............. IMfoIlowllliHla-- tax"""" o.tnand for -menl Of
<br />
<br />::~=~ic= :,:~;~.,::,u:w-...:::.:~r:::f~::
<br />to ...~. tupayw for the ....oiInl of theM ......, and addlllonlil penal ....
<br />Intentot, and COIItiIhelInllY accrue. 'C'
<br />
<br />"
<br />
<br />"5)
<br />
<br />Name of Taxpayar W1\'lt>IE D. '" ROSEMARY A. LEMBURG
<br />
<br />.I:'~!
<br />
<br />Realdence
<br />
<br />2323 B~LLWOOO OR. --LOT 1B5
<br />GRAHD [SLAHO. HE 68B01
<br />
<br />,)
<br />
<br />, i....PoRT...NTRELEA8e INfORMATION: With mpecl,to eacIi ..-menllllllld below. unl...
<br />"notice III 11111 it:teflled by the date IIII,.n in column (e), this notice shell, on thl dlY followlnll
<br />l!UCh date; operate. 1 c:ertlflc:ateDf rel_.. dIflned 1"190,6325(1).
<br />
<br />,
<br />
<br />KJncIofTu
<br />.. ,'" (.)
<br />1040
<br />
<br />, , 'Ta PeItocI
<br />!IidecI
<br />(b)
<br />12-31-96
<br />
<br />IdenUfylngNuInber
<br />(c)
<br />506-58-7553
<br />
<br />Om of
<br />ADeaament
<br />(d)
<br />6-01-87
<br />
<br />LaI D., tor
<br />Refill",
<br />(I)
<br />7-01-93
<br />
<br />Unpaid .....
<br />of ".. IlT'IlIIlt
<br />(f)
<br />1282.43
<br />
<br />u
<br />
<br />':1
<br />
<br />'-J
<br />
<br />';;j
<br />
<br />v
<br />
<br />Place of Filing
<br />
<br />R~gister )f Deeds
<br />Hdll Co.,n ':.:1
<br />Grand t91a~d. HE 68801
<br />
<br />Total
<br />
<br />.
<br />
<br />1282,,43
<br />
<br />...I
<br />
<br />'::.'...
<br />
<br />\.)
<br />
<br />Omaha, IIlE
<br />
<br />, on thll,
<br />
<br />Thll notice wu prepared and signed at
<br />
<br />J
<br />
<br />2 1 8 t JU1y
<br />the_day of
<br />
<br />8a
<br />
<br />Slgnatu...
<br />
<br />"r, ;' " ',/ Title
<br />/ f9.,r,;ACS. ~pJ!9.n."-l':'.8'~-"q.t.t::::P 38
<br />~ 47-01-0000'-'--'"
<br />(NOTt: Clniflcale 01 ofllcllr IUthorl&ed by Ilw 10 Iakl IcJmowledgmenlll I. nol _nllIIIO Ihl validity of Nollce of F_..I T.. 11111
<br />Rev. Ru!. 71_. 11171 - 2 C.B. ~l
<br />Form -(Y) (Rev, 12-t5)
<br />
<br />Part 1 - Kept By Recording Office
<br />
<br />
<br />Revenue Officer
<br />
<br />J
<br />
<br />J
<br />
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