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a <br />Ram � (Y} <br />0 0eliartment of the Treasury - Internal Rwanue Service 87 i 1 <br />ig-0e "''965) <br />Notice o#- Federal Tax Lien Under Internal Revenue Laws <br />Distr4ot <br />Serial Nurtiber <br />For Q~ Use byRetwrdfnfOnfoa <br />Omaha, RB <br />478725604 <br />As provided by section 6321, 6322, and 6323 ofthe Internal Revenue Coda, <br />notice Is -'given that taxes (including interest' and penalties) he" been <br />assessed *gainsl the following - named taxpayer. Demand for payment of <br />this Iblblifty has been made, but It remains unpaid Therefore, there Is a Ilan <br />the <br />In favor of United dtates on all property and rights to properly belonging <br />to this taxpayer for the amount al these taxes, and additional penalties, <br />interaN, and costs that may accrue. <br />Name of Taxpayer <br />Brumbaugh, Bernard D. <br />Residence <br />2502 Seedling Nile <br />Grand Island, NE 68801 <br />RELEASE INFORMATION: With respect to each assemnent listed below, unless <br />la rallied by the date given in column (e), thin notice shall, on the day toliowinfl <br />E <br />erate as a certificate of release as defined In IRC ti925(a). <br />Taut Period <br />Date of <br />Last Day for <br />Wtpomftmrim <br />Kind of Tits <br />Ended <br />Identifying Number <br />Assessment <br />RenOng <br />of AesenwAnt <br />(a) <br />(6) <br />(o) <br />(d) <br />(0) <br />(Q <br />1040 <br />12 -31 -80 <br />305 -44 -8795 <br />12 -30 -85 <br />I <br />t <br />1 -29 -92 <br />8667`.81 <br />Place of Filing <br />Register of Deeds <br />Total <br />>< <br />Ball County <br />8667.81 <br />Grand Island, NE 68801 <br />Omaha, NE <br />This notice was prepared and signed at on this, <br />lat June 87 <br />the day of 19 <br />Signature r1 Title <br />for CV ne . -800- 221 -5$38 Revenue Officer <br />0 ' I <br />(NOTa, -CAr ideate of officer Authorized by law to take aeknowladgments it not essential to the validity of Notice of Federal Tax lien <br />aev. Rul. 71-466, 1971 - z C.a. 409) Form 666(Y) (Rev. 12 -8e) <br />Part 1 - Kept By Recording Office <br />t <br />p� <br />.J <br />