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DEPARTMENT QF THE TREAS PRY - INTERNAL REVERYE VERVIG M <br />FORM 60-C 'CERTWICATS Of DMCNAR W POW4 RTY PVAM P§ IRAL TAX LIEN <br />(Rev. August 198;31 <br />(Sea. i325(1X2X2J of efle /w/ws01 Rwwllr Co" <br />WHEREAS, Douglas A. &'Mary I. Cotant <br />of P. 0. Box 1443 City of Grand Island <br />�Iounty of Nall of Nebraska , <br />is indebted to the United States for unpaid internal revenue tax in the sum of Twenty Four Thousand Nine <br />Hundred Sixty -Nine and 39/100 ------ - - - - -- Dollars (S 24,969.39 <br />lawfully assessed, to wit: <br />KIND OF TAX <br />(a) <br />TAX PERIOD ENDED <br />0 (b) <br />ASSESSMENT DATE <br />(c) <br />IDENTIFYING NYMD[R <br />(d) <br />UNPAID DALANCE <br />OF ASSESSMENT <br />(e) <br />i0qu <br />1040 <br />_ <br />12 -31 -79 <br />_ _ 4 <br />06 -04 -84 <br />bU6—b4—J9/6 <br />506 -5n -3976 <br />a <br />6,798.85 <br />1040 <br />12 -31 -80 <br />06 -11 -84 <br />506 -54 -3976 <br />5,157.49 <br />1040 <br />12 -31 -81 <br />06 -04 -84 <br />506 -54 -3976 <br />4,467.67 <br />1040 <br />12 -31 -82 <br />07 -02 -84 <br />506 -54 -3976 <br />3,147.49 <br />1040 <br />12 -31 -83 <br />07 -02 -84 <br />506 -54 -3976 <br />1,299.85 <br />TOTAL <br />:24,969.39 <br />NHE RE'AS, to secure the collection of said tax, notice of the lien of the ',)nited States, attaching to all the <br />property and rights to property of the said taxpayer on account of said tax indebtedness, was filed witn the <br />Register of Deeds <br />far the <br />County of Hall Hq�w -- <br />in accordance with the applicable provisions of low. <br />WHEREAS, the lien of the United States, Federal Number 49002, 49366 for said tax has attached to certain <br />property described as: Lot Three (3) in Block Fifteen (15) in Wallich's Addition <br />to the City of Grand Island, Hall County, Nebraska <br />* Duplicate Filing of Lien Number 49002 <br />Fo,m 669.0 Mev. SM) <br />L_ � <br />