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AeWtment of the TreaSury — Internal Revenue Service <br />NWIce of Feftral Tax Lien <br />(Rev. fsbnj4wv 19M) <br />Unftr InUmal Revenue <br />LawS <br />District <br />serial n mbeir <br />ForOpWisl Um by MCOI&V Office <br />gy6lip <br />37662 <br />As prpr dsd jkty sections 6321, 6322. and 6323 elf the internal Revenue <br />Code, notice isVillen that taxes (inehmiling inceresr.nd'pmarries) have been as• <br />sssasd eQaiinst the following -named taxpayer. Demand for payment of this <br />86 <br />OV <br />ttebitity tag t>ei made, but it remains unpaid. Therefore, there is a lien in <br />, 101015 <br />favtar of the United States on all property and rights t6property belonging to <br />this taxpeW for the amount of these taxes, and additional penalties, interest, <br />and coats that may accrue. <br />Name of taxpayer <br />Mehring, Samuel L. & Sheryl L. <br />Residence 2516 Delmonte <br />Grand Island, Nebraska 68801 <br />Kind d Tax <br />MFT <br />Tart Period Ended <br />Onto of Assessment <br />identifying Number <br />Unpaid aaance <br />ol Assossaenl <br />(a) <br />(b) <br />(c) <br />(d1 <br />(e1 <br />1`0 <br />1040 <br />30 <br />12 -31 -79 <br />11 -17 -80 <br />507 -54 -4768 <br />$ 3,865.08 <br />Place of filing Register of Deeds <br />Hall County <br />Total ► <br />$ 3,865.08 <br />Grand Island, NE 68801 <br />Notice of Federal Tax Lien Ref iling <br />iRS'seriai number 37662R _ Recorder's identification number <br />Noticefiledwith Register of Deeds Hall County Grand Island, NE 68801Date <br />Taxpayer's address (it rentrhanshown ove) 1427 Newcastle Rd. Grand Island, NE 68801 <br />Signature _� - C0Gt4__.1_ — Title. Chie_Special Procedures <br />ona ers <br />This notice was prepared and signed at Omaha, Nebraska _ <br />on this the 5th day 0. _ December _, 19 ___a0 <br />Signature ' /s/ Lyle D. Metzger _ Title _____Revenue Officer <br />Nets: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Notice of Federal tax <br />Lila. Rev. Rui. 71-486. 1971 -2 C.B. 409. <br />Part t — To be kept" rec'ordi -19 Office Form 668-F (Rev. 2 -85) <br />U <br />