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N <br />Islam IWY) 144 DepwWw I of the Treasury - Into" Revenus tlanrlee <br />tom, ,tI Notice of Federal Tax Lien Under Internal Revenue Laws <br />isLrlct <br />SArial NUrttber <br />ForONle usifOF ftfww ON" a <br />���"" 106006 <br />Omaha, Ns <br />478729322 <br />t by aatstlom $921, $3�R, and 6M of #wIntemal Retrenue Coda, <br />'! ' haw ban <br />S tax" ( Inflaraat and poLW ) <br />` <br />axaaaali dta A- MowMH• aaxplyt". Darnattd tar paymaftt of <br />Man Male, but R tano unpaid. therafon, 117w; Ira Ilan <br />t <br />M bitow nNed stubs on SO W and a <br />of bxas, <br />b taltpayar air the amount std al =W , <br />Mbtart, and tl tltfal may aoonra. <br />Name of Taxpayer <br />Mettenbrink, Robert <br />Residence <br />Rt. 1 Box 230 <br />IMPORTANT RELEASE INFORMATION: With respect to each assessment listed below, unless <br />notice of Han Is refilled by the date given In column (a), this notice shall, on the day following <br />such dab, operate as a oartlticate of Wasw as defined in IRC E925(a). <br />Tax Period <br />Daft of <br />Leal Day for <br />Unpaid Balance <br />Kind of Tax <br />Rnded <br />Identifying Number <br />Assessment <br />R* Ming <br />of Aeeaemmt <br />(16) <br />(b) <br />(c) <br />(d) <br />(e) <br />(r) <br />1040 <br />12 -31 -80 <br />508 -48 -1064 <br />9 -20 -84 <br />10 -20 -90 <br />3368.58 <br />1040 <br />12 -31 -81 <br />508 -48 -1064 <br />5 -29 -87 <br />6 -28 -93 <br />6768.85 <br />1040 <br />12 -31 -82 <br />508 -48 -1064 <br />5 -29 -87 <br />6 -28 -93 <br />4571.23 <br />1040 <br />12 -31 -83 <br />508 -48 -1064 <br />5 -29 -87 <br />6 -28 -93 <br />5624.94 <br />1040 <br />12 -31 -84 <br />508 -48 -1064 <br />5 -29 -87 <br />6 -28 -93 <br />2811.98 <br />Place of Filing <br />Register of Deeds Total <br />It <br />Hall County <br />23145.58 <br />Grand Island, NE 68801 <br />This notice was prepared and signed at Omaha, NE on this, <br />6th October 87 <br />the day of _.." t9_� <br />for Michael Ponte Revenue officer <br />42-03-1131 <br />(MOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Notice of Fedsral Tax lien <br />Rev. Rut. 71 -400, 1971 - 2 C.S. 409) Form 66$(Y) (Rev. 12-95) <br />Part t - Kept By Recording Office <br />[0 <br />L. <br />r• <br />J <br />