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<br />- ~..~. ,- <br /> <br />I ..... HI(V) I ~~ Notl~.~:~'~:::;;~~~;:;~~~::~I:~n;~:;eYenue Laws <br />I <br /> lRn_ oec.m_ llNl5) <br /> Dlatrlct ~-: ' . ,T ","vv. '.1 Se,I.1 Number F..."",..".,_",,,--.,._ <br /> Omaha,. NE ;.1 . " 47BB09554 88-t06738 <br />! Aa CroYldtll b, .actlonl 11321,11322 .nd 11323 ollhe Inlem.1 RlVenue Cod', <br /> nol CIi, 11:.glYan Ihat IaX.I (IncluiIJ'3 Inle"',at .nd pen.II".) have bHn <br /> ....IHd.ilgaln.1 tIiIloIlo~nll.nt' "upe,,,. Dem.nd lor pa,manl of <br /> Ihl.;II.blln; h.. bHri nillli; but II mirnl unpaid. Tllertllo..., Ihe... I. I lI.n <br /> In !avor of he Unlled .lalN on III pror.rl' .ndrlllhla 10 pror::rtr IMl0n~lnll <br /> to Ihl. 11ll!II'" lor the .mount 01 I ele taxe.. Ind .ddll on.' penal lei, <br /> Inlere." .nd _lllhllmer_nie, <br /> Name 01 Taxpayar PERSONAL HOME CARE SERVICE OF GRAND ISLA~ 0 INC. <br /> KIM STUTZMAN PRES. <br /> Realdenca 1B11 II 2ND ST. 1I 324 <br /> GRAND ISLAND, NE 6BB03 <br /> IMPORTANT R,ELEASEINFORMATION: Wilh respect to each Ilsenment listed below. unless <br /> notice of IIln II "flied by the dill. given in column (e). this notice shall. on the day following <br /> luch dill, operate u . certificate of releue 81 defJned In IRC 8325(.~. <br /> T. Pellocl 011101 Loll DIY lor Unpmd .11_ <br /> KlndolT. Ended Idlnlllylng Number _amln' Rltlllng 01_' <br /> (I) (b) (e) (d) (0) (I) <br /> 940 12/31/B7 47-069B609 OB/OB/BB 09/07/94 14'93.67 <br /> PI.c. 01 Filing <br /> Register of Deeds TolII . <br /> Ball County 1493.67 <br /> Grand Island, NE 6BB01 <br /> <br />,., n <br />., <br />. <br />oIt <br />~~ <br />,) <br /> <br />'J <br /> <br />e) <br /> <br />~ <br /> <br />.;j <br /> <br />~ <br /> <br />() <br /> <br />...J <br /> <br />Thl. notice WBI prap.rad and .Jgnad at <br /> <br />Omaha. NE <br /> <br />.onthl., <br /> <br />Slgn.lura <br /> <br /> <br />Tllla <br /> <br />Revenue Officer <br />47-01-1133 <br /> <br />tho Oat <br /> <br />(Hctft: Cartlfl~te of officer authorized by I.. to lake acknowledgmentll i. not ....ntla! 10 the validity of NollCII 0' r=.deral Tax. lI.n <br />RrI. Rul. 71-488. 1871 ~ 2 C.B. 4(0) <br /> <br />Form 6lII(Y) (ReY.12-1151 <br /> <br />~ [ <br /> <br />Part 1 . Kept By Raco,dlng Office <br />