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150 TmwAy - Internal lhwnus iertites <br />Mtof , rid Tax lien Under Internal Revenue Laws <br />Omaha, NE <br />This notice was prepared and signed at on this, <br />30th June 87 <br />the day o! , 19 <br />t Titid <br />r �cQB - ho -1- 800 -221 -5 3if Revenue officer _ <br />(#oTs:- Cgrhflcete off fiiy Niw tp take acknowledgments is not essential to the validity of Notice of Federal Tax lien <br />Ray. Rui. 77 -lea, 1e71 - 2 C.B. � . <br />Form 6U(Y) (Rev. 12-85) <br />Part 1 -Kept By Recording Office <br />U <br />I:Nuer "` <br />%M <br />OfMn <br />Omaha, NB <br />478726409 <br />Aa by mitaftne l21, GM and SW of"Ibe WAVW Rli►wnuo Coda, <br />a -awn taXM { k!laH aM panddaa) hm been <br />aalabd COMM el for pmt of <br />ffft< has boat node, brat R n tatpaW. TMnfon, than to a "a <br />I Tam � a f o" ON ow #Vft � <br />104117 <br />perwalliz to flt" for Rta &MW.I t of WMN% and <br />87--- <br />hdallu ,road coat Vist my scon - <br />Name of Taxpayer <br />Short, Dale S. & Mary Alice <br />Residence <br />R D 2 Box 46 <br />Mood River, NS 68883 <br />IMPORTANT RELEAN INPONMATION: With reapset to esoh auasment listed bellow, unless <br />notice of IIM Is rMMsd by the deft "n in column (s), this notice shall, on the day following <br />such dab. openue a a cerHticate of release as dellned In IRC s326(a). <br />Tax herfod <br />Dab of <br />Last Day for <br />tMpald Salanee <br />Kind N Tax <br />Ended <br />Identlfyln8 Number <br />Ammunent <br />Rwft <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12 -31 -84 <br />507 -32 -8661 <br />1 -18 -85 <br />12 -18 -91 <br />584.41 <br />1040 <br />12 -31 -85 <br />507 -32 -8661 <br />5 -26 -86 <br />6 -25 -92 <br />408.52 <br />ace of filing <br />Register of Deeds <br />Hall county T0111111 <br />$ <br />992.93 <br />Grand Island, NX 68801 <br />Omaha, NE <br />This notice was prepared and signed at on this, <br />30th June 87 <br />the day o! , 19 <br />t Titid <br />r �cQB - ho -1- 800 -221 -5 3if Revenue officer _ <br />(#oTs:- Cgrhflcete off fiiy Niw tp take acknowledgments is not essential to the validity of Notice of Federal Tax lien <br />Ray. Rui. 77 -lea, 1e71 - 2 C.B. � . <br />Form 6U(Y) (Rev. 12-85) <br />Part 1 -Kept By Recording Office <br />U <br />