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M Department of the Treasury - tnternal Revenue Service <br />Form �1 r <br />Re Fpm , %,+ Notice of Federal Tax lien Under Internal Revenue laws —� <br />Serial Number .p. J�rorvar Use oy Raco.Wng Cmrce <br />Omaha 47 54516 O1D 716 <br />M by sections 6321, 6322, and 6323 of the internal Revenue Code, <br />rwtioevi mow» the taxes {including interest arxi per►afties) have been <br />apesasds� »st the following -named tazpayK. Demand for payment of <br />fhb IiabiNty sus bests made, but it remains unpaid. Therefore, there is a lien <br />in favor of the lfnited Statea on ail property and rights to pro�►erty belonging <br />to this taxpayer for the amount of these taxes, and addittonai penalties, <br />interest, and costs that may accrue. <br />Name of Taxpayer <br />Swanson, Dennis L. & Janet S. <br />Residence <br />1222 E. 5th <br />IMPORTANT RELEASE INFORMATION: With respect to each assessment +fisted below, unless <br />notice of Lien rs rattled by the date given m column (e), ;his notice shail on the day following <br />such date, operate as a certificate of release as defined in IRC 6325 (a). <br />Tax Period Date of <br />Kind of Tax Ended I Identifying Number Assessment i <br />la; V <br />1040 12- 31 -84' 508 -60 -5551 05 -27 -85 <br />i <br />i <br />I <br />�-- 101461 <br />Last Day for Unpaid Balance <br />Refiling of Assessment <br />06 -26 -91 $ 3,602.94 <br />i <br />Place of Filing - - -- -- — <br />Register of Deeds 3,602.94 <br />Hall County Grand Island, Nebraska 68TH $ <br />This notice was prepared and signed at _ _ _ <br />the llthdayof_ -March tg 86 <br />Omaha Nebraska <br />on this. <br />_._ <br />ignatur4 _ - - -- ----- - - - - -- <br />f � Title <br />1 -.D tci¢__fi_ Ada.tus_ Ad i -sor, Spec ia--1 - P- r-ocedure -s <br />�Ni04E L�rtfirafetlro $9i <G9; <br />C 6 RU "091, fb� dw.Ol@kYiG v!e7grnents rressor; rrartorrevdi +04yo!NOlrceu.F "ederar7.r.rr >,: <br />rier. Rio.: 7.4bb. 797; -Z. <br />Fart 4 -- To be Kept by Recfrdiny �nft,:;, . t-orm 668(C) (Rev 2 -63) <br />i <br />-J <br />r <br />h <br />�f <br />