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15 0 srpMM of On Treoaay - Memo! Rev~ <br />l .Sam r o <br />Hb ral Tax lien Under Internal Revenue haws <br />Dlatrici <br />Serial Number <br />Fier 0raslinir Use Ofto <br />Omaha, *a <br />478726417 <br />mind IM of "Ya Ifnh w "Mmme Cods, <br />oleos ( and p�eaMes) hew been <br />assesMd � f'luaatd � of <br />� hse bsott made, N naaMe 1'hst�sfon, than N e Nsn <br />1n *v0 Unftd M1 1 on aN pirooMy end kt <br />to 9 for ffn dt•si "cam mad <br />t <br />sa11NNtt of <br />httaeel, cad on y "Mus. <br />87- 104116 <br />Nam* of Taxpayer <br />Collins, Irvin R. <br />F%itiartrw® <br />aox 613 <br />Grand Island, NZ 68802 <br />N Ol;TANIT 11111111,114411111 , Till: with respect to each aeevement llsad below, unease <br />ncees (dflen Iti'le ed by "is daM gtv#n in column (a), this notice shall, on the day following <br />rich date, openness a oortli8afe of release as def(ned in INC SM(@). <br />T1m pwiod <br />Dow of b <br />Last Day for <br />Unpaid MOM <br />Kind of Tax <br />Ended <br />Iderltlfy&to Nth <br />AeaaamaH I <br />1110 tq <br />of Assessimerd <br />AN <br />(a! <br />01 <br />(e) <br />(st <br />(0 <br />1040 <br />12 -31 -60 <br />505 -40 -4922 <br />5 -25 -81 <br />6 -24 -87 <br />892.54 <br />1040 <br />112 -31 -81 <br />505 -40 -4922 <br />2 -07 -83 <br />i <br />3 -09 -89 <br />i <br />121.91 <br />Of Filing <br />Register of Deeds <br />- "Hall County Tolial <br />= 1014.45 <br />Grated Island, 99 68801 <br />Omaha, Vli <br />This notice W" pMarod and stoned at on this, <br />30th June 87 <br />th* day of , , 0 <br />' 7-ine <br />f see -1- 800 -221 -5 1 38 Revenue Officer <br />i� 1 <br />(NOTi: Cerftftceh of officer outhoriaad tq taw to take acknowledgments is not essential to the validity of Notice of Federal Tax lion <br />Rev. Put. 71.4a, 1971 - 2 C.D. wa) Form 8>s8(Y) lnw. i2-�i <br />Part 1 - Kept By Recording Office <br />u <br />I <br />_J <br />0 <br />I <br />