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le -o w <br />Department of the Treasury - Internal Revenue Servlc-85---�; 0 0 0 4 16 <br />Fo- <br />Rev No., 1983) Tax Lion Under Infernal Remo Laws <br />For Opitlor;al UsobyRecordkilf0fte <br />bi—sin-c—t --------- r <br />Omaha 47 49849 09B 980 <br />As by sectlorts 6321, 6322, na d 6323 the internal nue Code, <br />have been I <br />this i�1dy been made. but it romaine unpaid. Therefore, there By = I I son' <br />belonging <br />tI <br />Ies <br />to t13ill taxpayer for the amount of these taxed and additional po <br />Interefit, and costs that may accrue. j <br />Name of Taxpayer <br />Lauritsen, Arlan C. & Lois A. <br />2821 W. Koernig <br />—Gr*jt,d Uland. NE 68801 <br />MVIDPITANT'RELEASE INFORMATION: With nIi to each assessment listed below, unless <br />'Mice of lion is r~ by the date given in column (a), this notice shall, on the day foltowing <br />suith date, operate as a certificate of release as defined in IRC 6325 (a). <br />Tax Peftd Date of Last Day for <br />Kkid of Tax Ended Identity" Number Amiessment I Refiling <br />(C) (d) at <br />1040A i12-31-82 i; 507-80-8616 104-30-84 1,05-30-90 <br />UnpOid BaNnee <br />of Assosemnit <br />M <br />304.90 <br />PiiZe- of Filkv <br />Register of Deeds 304.90 <br />Hall County Grand Island, Nebraska 680W $ <br />This notics, was prepared and signed at Omaha Nebraska <br />on this, <br />23rd Januar 85 <br />the - o y <br />' day of ,January 11 , 19 -1---,- <br />Title <br />_ACS Donald"J.. Ehlers Chief, Special Procedures <br />INOTI, C4,14,ceireolorke, low to raho In try ,44041 ON(Itke ,,.I <br />lift qw 7f 4M 1)7+ ;1 G ti 409) <br />')jf I I To Form 80C) (Rev 2,83) <br />M <br />a <br />jai <br />