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<br />Depntmedt`o/ tM Trepury -1Me/nN Rwenw SerWq <br />~ t'~ Fp ~ _ 0'f PBX ~I811 ~Ild~( ~IltPafll~ R@YBDil9 : ~ ~ i <br />Dislrl0t ~'~SerialN4Jii~er%: Fo.cpncnNU~anyr~coehgaiirba <br />~7maha 47 ~ ati237-oo8II4U1~-0'67 .. ~ .. <br />As - < by seetbtts 6321, 6322, and 632 of the Infsrnsl-Rwenue Cod ''~ <br />not ~ ' is;,~wn fha~ tixts (intluding iMereslC'~rM panaR(es) haw baen <br />awased net"the folbwlrg-Hamad taxpay~i; DemYnd for pryment of ~ 1 U ~ $ 8 !~ <br />this 1isbHlty~aa bNn , twt it remains unpaid Thefefi3re; then Is a Ilea <br />in'faVOr of the lJnlfsd ~s'on afl propeRy and rlphts to pro lxMoc-ONtq <br />to fhis taxpayer for the amount of thhese taxes; and .addle penall~ss; <br />irNenat, and costs That msy accrue. <br />Natrrooof:Taxpayer ---~ <br />8reaman, 12obert Perry <br />Residence <br />3Gfl1 t~i Stolley <br />.,,, .~ ,,. :, .. G d,:.~, „) no - Plebraska 683D1 z '' <br />_.: IMFORTAN7RELF~SE INFORMATION; With respect taeach assessment listed belay.-unbss - - - <br />- npficeof Ian-isrefilad bythe. d;3te gwen in column (e} tt11s notice shall, on the day fdbwing _ - <br />suchdata, oparaie azacellllicale.ot rei6ase as defined irnlRC 6323(x). - <br />Tax~eNo'd ~" ,a _ Otleof ~ L~etDeyfor i 4ripa1d4alahae . <br />-Kk+doi Tat Ended Identifying P1urMer j Aseeernent ! firafllirg i oNAwewn~rrc <br />"I~~~ -- ~2-3~ 8~' 4-i`s3-84-7222 GS-k)~-a.i t36-01-0~~ ' ,~e5,5~ <br />1.J~0 ~ I2-31-~~i ~ a 1,873.12 <br />;: ; j ~ l <br />~', ' II <br />1 _ <br />l I <br />. f <br />~. _z <br />dace of Filing <br />l~i~r~l~tet" t~f t7~e8s_ R- -- , .~~.7i <br />Hall"G'ount;l; taTand Isl~nct ~e'*`ras'<a tib~tirHal ~ ~ <br />., <br />(lsraha iye}raskd.:...: <br />This notice was prepared and signed at ______~___~_ , onlfiis;. <br />the 2zth day at Januaryts uz4 <br />' S'igoature ~7~."^_ T~ Title -- - <br />8333 atei;eeca L9eirsack ~ i;f;ief, l;if9ce Branch <br />{{11p1pTE: CertificateW o6lcerauthorized by faw to take aokrrowfetl9ments is rwf essenUalto the validity orNptlLB 01 fedeta! 7axLlen <br />1iba. kta1. 71-166, Y9Y1-2, C.B. 109) <br />Part 1 -To be Kept lsy Record6ng C3ffiee Form etis(C) (Rev. 2-aa) <br /> <br /> <br /> <br />