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<br />Fo,", 611(C)
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<br />Il.,~. r.~ T,...ury,lnl_1 R__
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<br />Notice"~oj' ~ederal:'Tal Lien Under Internal R....... Laws
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<br />IAev.Feh,lllll3)
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<br />Omaha 47
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<br />..'=:.:'~,,:J.~itI...u-
<br />'_'" 41188 03 454
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<br />For~Oi.:flY~~
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<br />4 '. .....' ...... ....... '.......'....,..... .
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<br />A. prowiM by nctlcms 6321, 6322..nd 632l:ofthe.....m.1 Re_ Code,
<br />notice. Is''OI".n that taxe. (I.lnnCCludlng Int......f..'.........n.d. .....pe. naltle.) have beeit.. . '.
<br />.........~Inst the 10Ilo~.n'rMd taxpflyei~'~nd lor payment 01
<br />thl. liability h.. been m.de, but It remaln.'untMld; Th...tore, th... I. a
<br />lien 'n lavor 01 the United Stat.. on all propedy .nd right. to property
<br />beIontIIng to thl. taxpay.r lor the .mount olthue... tu.., .nd .ddltlcmat
<br />pena"'. Intere.t. and co.ts th.t m.y accrue';',:
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<br />Name of Taxpayer
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<br />Hazen, Lonnie O.
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<br />Residence
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<br />1042 S. Pine
<br />Grand Island Nebraska
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<br />T... Pllriod ,
<br />Kind of Ta. I E~ i identifying N.........
<br />(8) !~ re!
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<br />1040 i 12-31-32 i 507-;;4-0990
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<br />Data 01 l.ut DayfOl'
<br />,,-_t R.flllng
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<br />IMPORTANT IlaEASE INFORIoIATIQN; With respect to each assessment iioled below,unless
<br />.- of.Jion IS _ by the date giYen In colunm (e~ this notice Shall, on the day following
<br />such dale. ope<aIeas a eertificale 01 ,_sa as de/lned In lAC 632i ia},
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<br />12-05-83 01-04-90 $ 3,853.33
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<br />Place 01 Filing ....L-__...........:..___. ..---'.--,,- ------' !
<br />Regl,ter or Ueed, ~'853.33
<br />ii all Co u fl t Y "" a!\ G . S : J n J, :j e D r d , k a () 0 I:W 10181 $
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<br />thiS notice was prepared and signed at
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<br />0lHdUd tl~o-rdska
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<br />,onlhls,
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<br />the~daY oj~E.-:.~I______ 19 ,:~__.__
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<br />S~O!I:'tJrA
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<br />,D-'Tfitie"----
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<br />Form 66I(C)(Re'1, 2-83)
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<br />L_____ ~ rt'J'-'-;' t~!'.lfi;!i
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<br />(NOTE: C..~rt"i>:':<ii'-t' vi" J:t-Ci'f d",I',,-ULb?C t)'o 'do\ 1<,; rci~" .h.,.r!<..)"'oogm&<lfl> ',~ nUl t/::>$:&flf',,! Ie r!ie '001;,(1111 01 '~QIICfj 01 f-OOfHa, Tdl
<br />;..~~ A",i ,:"466, '971':, ,';< J<.."'I
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