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DOPOF 110110M Ot Yn Treasury - tebroai Mr*"W 6ervles <br />asl �NIY! <br />—:> Notice of Feder'61 Tax Lien Under Internal Revenue Law: <br />t Sarial Numbar r<er Os+Mea+b uw'M Aerer�r Oatre <br />Omaha NE 47 <br />i Cad p!! tnf,Mta Itttarftr tl�,ranua cods 86- 106349 <br />(( aNanat "Mm") r of <br />foMoMtq- nargad.;hatNli�r. <br />lwan'ttuM, da M nfttdNls �npdd. ±hwv%M tftl a We Nan <br />fn f6>trer a unNed stn @ on aN <br />fM,D t ws Pr« " tncs , «w t <br />o <br />d C for ftr'aln011nd a <br />Niaat. sa , <br />fh0 mmy .Donis. <br />Name of Taxpayer <br />Peters, Fletcher C. b Osborn, Meredyth ( eters) <br />Paskience 2103 Bass road <br />Gwand Island, NE 68801 <br />EdmFeopem:e" SE INFORMATION: With respect to each assessment listed below, unless <br />w by the date phren in column (e), this notice shall, on the day following <br />a certificate of release as defined in IRC 6325(a). <br />DMW of Last OaT for Unpold 111114111111~ <br />W" of TM f/Nat1 IdMtNIrInY Numf* Aaaesaoteet RMMNN of <br />fa! (a) fc) (d) fal fU <br />1040 12 =31 -78 5W- 241:5454 7!409to86 8.1M;92 10460.49 <br />1040 12lF3it79 506 = 2455454 7909:86 8x08 =9 49605.76 <br />1040 12r-31,%80 506' -24 5454 7 =09 =86 8.s M.9 55393.62 <br />1040 12031*81 506#24 *5454 7509x86 84080 10819.82 <br />Place of Filing <br />Register, of Deeds TOM : <br />Hall County 126279.69 <br />This notice was prepared and signed at ' on this' <br />the 21);,h day Of Oct-how . 1 Y °. _.:_�_• <br />w�Gee�LL% , Revenue Officer <br />(NOTE: eeruflcate or n y taw to take acknowted9ments +s not es »nt+al to the valldlty Of Not+c4 of Federal Tax Ilan <br />Row. RW. 71-466.1971 - 2 C•B. 4091 Patt 1 Form 666(y) (IMa.6aA <br />tia�t $r R: o� <br />n.�tu�y O;',_ <br />