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Form 688 Department ot the Treasury" Internal Revenue Service 0000 ',-, ~ ''N~m;e;~f Federal Tax Lien Under Internal Revenue Laws (Rev. December 1982J 000 :-- c~ '~'-.j District I Serial Number For Optional Use by Recording Office . .~., - , Omaha;.-, #"(,,,,, 43229 0 "'_0, ;0 0 83-00J864 '0' --- . -~,.~- ~"~- As provided by s!,ctions6321, 6322, and"6323 of the Internai Revenue Code, notice Is given that laxtl$'(incltJdlng Inlerestand penalties) have been assessed against the following'named taxpayer, .:Demand for payment of this liability has been made, but it remains unpaid, Tnerefore; there is a II~ In favor 01 the United States on all property and rights to property belonging to thfstaxpayer lor the amount ofthese taxes, and additional penalties, interest, and costs that may accrue. Nameoftaxpayer William H. & Gloria J. Siverly Residence Box 773 Grand Island, NE 68802 IMPORTANT RELEASE INFORMATION- With respect to each assessment list beiow, unless notice 01 lien is reffled by the date given In column (e), this notice shaH, on the day lollowing such date. operate as a certillcate 01 release as delined in IRC 6325 (a), Tax Period Date of Last Day for Unpaid Balance Kind of Tax Endad Identifying Number Assessment Refiilng of AssMsment (a). (b) (cl (dl (el (t) 1040 - 30 8112 481-34-7144 07-19-$2 0S-1S-88 $ 1,481.90 Place olflllng Register of Deeds Hall County Total $ 1,481.90 Grand Island, NE 68801 This notice was prepared and signed at Omaha. Nebraska ,on this, Signature , 19...83- Titie ~ Chief I Office Branch (Acting) (Note: Certificate of officer ovthorized by low to toke acknowledgements is not essential to the validity of Notice af Federal Tox Lien G,CM, 26419, 1950,1, C8, 125,) Part 1 - To be kapt by recording office Form 668 (Reli. 12--82) ....... L -1 L