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<br /> -- <br />form 868(Y)' 25 D....rtmenl 01 Ih. T..uury -In..m.1 R...n... lena 00- .1 --~~ <br /> ',' "8 <br />IR~. o.c.m~r 1885) NoilcfolFederal r_x Lien Under Internal Revenue Laws <br />Dlstrlcl -jj( ,.:::, ., I Serlel NulTlber For Op//GINIIlIMby-.atrl 0_ <br />o.aha,l. 478807932 <br />A. rcraVld" by I.cllonl 8321, 8322, and 8323 oflbl Inllmal Rlvlnul Codl, <br />nol ce' II ..~IVH Ih*1 I.xel (Including Inllrell'- .nd pen.llIll) h.vI liHn <br />....IUd'llIalnll lhe fOI~wlng-namad tupay.r,- Dlmand for paymlnl 01 <br />Ihllllablll" lull baan mi I, buIlt remalnl uilpeld. Therefore, thlre II a lI.n <br />In fnor ollhl Unltld SI.I.. 0:1 all pror.rly .nd rtghla 10 pro\:rly balongl,ng <br />10 Ibl. lupaYlr for Ih. .mounl of I el. lUll, and addll onal penoltl... <br />In~.""'. and cOlli Ihll m.y .ccru.. <br />Neme 01 Taxpayer LUELLA !CAy 80RGENPRBI <br />SHEAR REFLECTIONS <br />Residence <br /> 3807 HOMPTON RD <br /> GRAND ISLAND, NE 6S803 <br />IMPORTANT RELEASE INFORMATION: With re.pectto esch ......mentll.led below, unl... <br />notice 01 lien I. r.f1led by the d.te g)v.n In column (e), Ihl. notice .h.lI. on the dey lollowlng <br />.uch dele. ,oper.'" u e certlllc.t. 01 relee.e e. dellned In IRC 6325(.). <br /> , TuPerlOd Dallol LIlt Day lor Unpaid s.l1JICII <br />Kind of TiD Ended Idenlllylng Number ,,""umlnl RIDling 01 "--menl <br />(~ (b) (e) Id) Ill) (f) <br />941 12-31-83 47-0657241 4-14-86 5-14-92 744.12 <br />941 6-30-84 47-0657241 6-30-86 7-30-92 484.95 <br />941 9-30-84 47-0657241 1-06-86 2-05-92 192.57 <br />941 12-31-84 47-0657241 6-30-86 7-30-92 458.08 <br />941 3-31-85 47-0657241 6-30-86 7-30-92 516.44 <br />94'1 6-30-85 47-0657241 6-30-86 7-30-92 500.65 <br />'941 9-30-85 47-0657241 6-30-86 7-30-92 1470.73 <br />941 12-31-85 47-0657241 6-30-86 7-30-92 1374.47 <br />940 12-31-84 47-0657241 7-07-86 8-06-92 278.93 <br />940 12-31-85 47-0657241 7-07-86 8-06-92 666.44 <br />Piece of FIling <br /> Regi8t:er of D8eds <br /> Hall Cou"t:y To'" . 6687.38 <br />" Grand 18land, NE 68801 <br /> <br />"Vi 'r'.'JflllJ"'i'l:-: ;.f. tY"t.,'.:11'j <br /> <br />-:, 1 <br />'f:l <br />-:.~ <br />OJ <br />.) <br />":J <br />'J <br /> <br />.1 <br /> <br />'.1 <br /> <br />.J <br /> <br />J <br /> <br />-' <br /> <br />a.aha, illS <br /> <br />, anthis, <br /> <br />ThIs nollee we. prepared and signed al <br /> <br />5t:h <br />Ihe_dayof <br /> <br />Slgneture <br /> <br /> <br />Revenue Officer <br /> <br />] <br /> <br />J <br /> <br />(NOn: Certificate of officer authorlzud by law to take acknowledgmentlll nol OIun1l11 to tha validity 0' NOllco 01 Federal Tax lien <br />Rov. Rul. 71~. 1871 - Z C.B. _) <br />Form 868(V) (ROY. 12-85) <br /> <br />Part 1 - Kept By Recording Office <br /> <br />L <br /> <br />-.J <br />