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IN <br />A A A A.& bel <br />This notice was prepared and signed at Omaha, ME on this, <br />13th July 87 <br />the -day of. <br />Signature • Title Revenue Officer <br />4117_7 33 <br />(011071111. Cortiflosto of off leer authorized by law to take acknowledgments is not essential to the validity of Notice of Federal Tax lion <br />Rev. Rut. 7146111, 1971 2 C.S. 409) Form 668(Y) (Rev. 12-85) <br />Part 1 - Kept By Recording Office <br />144 Asisadment of the Trossurif, • Internal Remus Service X V M <br />(Nev. 1360~ IM) <br />Notlical6il Federal Tax Lion Under Iriternal Revenue Laws <br />District <br />Serial Number <br />POP 0~ LAW!Z fttAft 011111111110 <br />Omaha, MR <br />478726567 <br />As dtid by no 6321, $322, and $323 of the Internal Revenue Code, <br />tax** Interest <br />(including and porwit"I") have been <br />named taxpayer; Demand for payment of <br />00 NabUfty has ul It remains unpal Therefore, then Is a lion <br />11he <br />In favier of Unit*d States an oil pro rty and rights to proferty belonging <br />to this <br />taxpayer the amount of 111 taxes, and additional penalties, <br />Interest cos that M-IF <br />Name of Taxpayer <br />Fern, Jeff <br />Residence <br />2320 No. Custer <br />Grand Island, ME 68801 <br />PAPORTANT RELEASE INFORMATION: With respect to each assessment flatted below, unless <br />notice of lien Is ref led by the date given in column (a), this notice shelf, on the day following <br />such date, operate as a certificate of release as defined In IRG 6325(a). <br />Tax PWW <br />Date of <br />Lost Day for <br />U nMpwaWl d Jsatlarnoe <br />Kind of Tax <br />Ended <br />Identifying Number <br />Assessment <br />Raffling <br />of Assessment <br />(a) <br />(b) <br />(C) <br />(d) <br />(0) <br />M <br />6672 <br />3-31-86 <br />508-56-0860 <br />2-16-87 <br />3-18-93 <br />2564.47 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Hall County <br />2564.47 <br />Grand Island, NB 68801 <br />This notice was prepared and signed at Omaha, ME on this, <br />13th July 87 <br />the -day of. <br />Signature • Title Revenue Officer <br />4117_7 33 <br />(011071111. Cortiflosto of off leer authorized by law to take acknowledgments is not essential to the validity of Notice of Federal Tax lion <br />Rev. Rut. 7146111, 1971 2 C.S. 409) Form 668(Y) (Rev. 12-85) <br />Part 1 - Kept By Recording Office <br />