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s, <br />t <br />u <br />r <br />i <br />Form goo <br />OepaMaent Ot tM Trwury- teaHrnN MvMNae aeavlu <br />(Rev. Feb., 1963) <br />V _ Tax Um Undff 1ftrW Rnum Um <br />— Dias Serial Nt m1ber <br />For 00—Useby Me—ding ofte <br />Omaha 47 " °- 50162 01C 290 <br />Ae rovidad by sectione 6321, 6322, MM 8323 Of the inNmal Fhvenue Code, <br />IS given thrt taxes inetuddg intenligt` mW pa tlo") have be" <br />the named taxpayer. Demand for payment of <br />Oft NablWy� <br />been made, but It remolne unpaid. Therolore, there is a Nan <br />In favor of the United �atss on aN p�t py t °, <br />to dde taxpayetr for the amount <br />5...: 0010 #35 <br />peb.tonpittp <br />mod costs that accruef <br />Name of Taxpayer <br />First American Insurance Service, Inc. <br />A Corporation) <br />Residence <br />2525 W. Lincoln Hwy 7 <br />- <br />room <br />IMPORTANT RELEASE INFORMATION: With respect to each assessment listed below, unless <br />notice of Hen is refiled by the date given in column (e), this notice shall, on the day following <br />such dale; operate are a certificate of release as defined in IRC 6325 (a). <br />Kindef Tsx <br />(s) <br />Tax PMiod <br />Ended <br />kWnUtyiag Number <br />Date of <br />Assessment <br />Last Day for i Unpaid Balance <br />Refilln9 of Assessment <br />(b) <br />!cl <br />(d) <br />(el !tl <br />940 <br />12 -31 -80 <br />47- 0630290 05 -10 -82 <br />06 -09 -88 '$ 12.25 <br />940 <br />112 -31 -82 <br />01 -30 -84 <br />I 04 -20 -84 <br />03 -01 -90 $ 99.53 <br />05 -20 -90 $ 431.71 <br />940 <br />112 -31 -83 <br />� <br />04 -16 -84 <br />I i <br />05 -16 -90 i$ 518.31 <br />Ptara ni Finn <br />Register of Deeds 1 51,061.80 <br />Hall County Grand Island, Nebraska 688Tr <br />This notice was prepared and signed at Omaha N e b r a s k a <br />— , on this, <br />the 28th day of Februaryty 85 <br />Title <br />-- uona4A —J-. -- ` . -1= - G#iaf -: Spas- 133- Proledur�s - <br />(NOTE Ca7tiricero of offer aurhor/zedby(ew Nrake a kwiv7edQments rs oofessenr79/ ro the valWy of Nonce orFedwal rem bl - -- <br />Aev. E 71466, 1977 -2. C.B. 4091 <br />Part 1 - To be Kept, b : Racmding Office <br />Form 66WC) (Rev. 2.83) <br />L <br />, ( <br />v <br />4 <br />m <br />L <br />L <br />t <br />■ <br />