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0 <br />,....R U0 U —� M e of the Treaty Internal Revenue Service c_' <br />Form ! II' 9�/ �} }� Lm <br />(Rev Feb.. 19831 �� Tax :L� Int�TitBI <br />- 1 -- — -- - - - -- - — - <br />DistnCt _ 1SerialNumber forOp6one!(/eebrRecordmgD/lvice } <br />Omaha 47 53171 10C 441 <br />As Provided by sections 6321, 6322, .and 6323 of the internal Revenue Code, <br />not given that taxes (including interest and penalties) have been <br />aasasaed the foNowing -named taxpayer. Remand for payment of <br />Oft iimbility� been made, but it remains unpaid Therefore, there is a lien <br />in favor of #he::Uniaad 9tmiles onall property and rights to property belonging <br />to this taxpayer for the amount of these taxes, and additional penalties, <br />interest, and costs that may accrue. <br />Name of Taxpayer ----- - - - - -- -- - - - - -- <br />Ellison, J. Aliceann <br />Residence <br />1108 W. Division <br />6r.a:nd Island. NE 68801 <br />iLEASE INFORMATION: With respect to each assessment listed below, unless <br />refiied biz the date given in column (e), this notice shall, on the day following <br />e as a certificate of release as defined in IRC 6325 (a) . . <br />Tax Period Date of Last Day for Unpaid Balance <br />ICkxi of Tax Ended identifying Number 1 Assessment Renling of Assessment <br />ie) V (cl (d) <br />1040 412 -31 -79 471 -44 -2779 11 -01 -85 12 -01 -91 $ 416.27 <br />1040 12 -31 -80 111 -01 -85 12 -01 -91 $ 168.03 <br />i <br />Place of Filing <br />Register of Deeds 584.30 <br />Hall County Grand Island, Nebraska 6890111 S <br />This nonce was prepared and slgnetl Omaha Nebraska at _ -------.on this. <br />21st November 85 <br />the _____ _ day of. <br />- ------- -- -__. <br />Signature Title <br />1.133 - .._yle Metz_ger�o Revenue Officer <br />(NOTE: GertIG�'etr. of ottrrer outnonrno n� raw to 7a�e ac•nrwlrlallmc nu s nn• r ..miter rn n ,a1h cd r� nr, . c,r lHrn +rep i a. , wr <br />A9✓ %) 71 "466. 7471 C H 4041 <br />Formasgc)(Rev 2.83) <br />L L J <br />