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a <br />Form W f .QO Tres". i wYW Re M of the Tres <br />W venw Servke <br />(Rev. Feb., 19W) r w <br />F Tex Lion U internal Re <br />_,. tl N . -- - - _ Under <br />i Serial Nu r <br />Qmd.ha 47 ' �aubi r,yc — <br />�� _ 5'51115 05C 235 <br />As provI4 <br />Jd by 8321, - <br />6322, af�f 6323 Of the Mtemal Revenue Code <br />notic* Oven t, ta�c�s (Including .iaterast penalties) have beettt <br />f tiro ftp <br />this been made, but it remains � demand for Payment of 85-... <br />In f+nror of the United States on all a *efom, thore is a lien t 002843 <br />to this Urxpaye� tcx tiro aft>tount oft ny of r is to p 2 betonging <br />Interest, co may sccrue. tsxee and sddit nat ptnafttes, <br />_ i <br />Name of Taxpayer <br />Dominick, Eugene W, <br />Dominick Furniture Repair <br />414 Ito. Sycamore <br />js:�and, NE 68801 <br />ANT RELEASE INF TtON: With r <br />of re to each aasessmer1t listed below, urdess <br />d by " dam 9"n in column ,e), this notice shall, on the day foNowing <br />e , of r as defined � IRC 8325 (a). <br />4 Tax M <br />Kind of <br />Ta c i Date ! k�ntif r C I y for ' Unpaid <br />'� j of Assessment <br />9 41 112 -31 -82 t 47- 0560224 X1.2_24 -84 Q1 -� <br />941 03-31-83 i 23 -91 b9 - <br />i12 -24 -84 01 -23 -g1 I$ 837, <br />941 09 -30 -83 12- 24 -8'4 i$ 925.29 <br />:.941 i'12 -31 -83 OI =23 -9i E$ 862.13. <br />941 03 -31 -84 X12 -24 -84 01 -23 -91 ;!$ 834.`38 <br />9-41_ 106 -30 -84 12 -24 -84 01 -23 -91 i$ 937.88 <br />940 ;12 -31 -81 12 -24 -84 01 -23 -91 �$ <br />01 -07 -85 i02 -06 -g1 843.8Z <br />�$ 360.02 <br />I <br />688TMal <br />$5,601.21 <br />Tt"s "Once was pr red and signed at Omaha Ne b r a S k a <br />on this. <br />May the 18th _. _ <br />_ _ day of -Y _ 85 <br />Title -.- <br />H 1 i a_m s. <br />_. RevnuQ. Off' <br />t TE: Conroe: ate of rr <br />r/rc:nt�rl� rnw to t�Ja ®dc:know j - -c-e- r_.. <br />v fful 7a -466, 197 ? -Z C @ 409) Y rent,] rs no/ ®Ssionrea! to ow vai 0r <br />ry %tice of Fftwal .__..... <br />PP�� gg g r�X Lren <br />i)y fink'c ro'n (4.t <br />Form "WC) (Rev. 2.83) <br />L <br />x <br />t -� <br />