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<br />Form 668(&1
<br />
<br />-,..__,;-.l::;'..1 _.o'......--,;.:..,:...~~1-_
<br />Department of the Treasury. Internal Revenue Service
<br />
<br />(Rev_ Fab" 1983)
<br />
<br />-~,Otice ot1etl~hjl Tax lien Under Internal Revenue laws
<br />-i.L~_,~~.~___L~S~[~81 N'u~,b-er --. . -. .._,-. - ,.--."----- ~',=-~-_"-~-.~?i~~~~j~~~~ by R;;~'3ioiii~=~_
<br />47 i.-.. 47807 06B 029
<br />1
<br />_____---:.--1.--_______..._____
<br />
<br />l
<br />
<br />I
<br />
<br />District
<br />
<br />Omaha
<br />
<br />As providDd by sectjqO$OO~:i, 632'.2, aild632139Uhe Internal Revenue Code,
<br />notice is',,.alven ttftjf" t9xes (includinCl'intlttf!'Land penalties) have been
<br />assessed;i!gainst the following-named taxpayer, Demand for payment of
<br />this nliblllfy has been made, but It remains unpaId, Therefore, there is a lien
<br />In favor of the United States on .all property an~,rlghts to property belon!;!lng
<br />to this taxpayer for the alil(:l~t of th~~i tax@; and additional penaltles,
<br />interest, and eosts th.i1t may accrue,. . .
<br />
<br />,;<i.,~
<br />''<J ~-
<br />
<br />003664
<br />
<br />Name Of Taxpayer..
<br />Wi 1'Vrams, R6-bert D.,
<br />
<br />R9$llience
<br />
<br />
<br />W De 1 t~onte Ave.
<br />
<br />IMPORTANTRELEASE.,INFORMATION: With respect to each assessment listed below, unless
<br />notice -Or lien is ref-ii@'by the -date 'yiven iii ,~olli(nn ie,. !'lis notice shall. un lrie day io!lowing
<br />such date, operate as,a certificate'of-r-elease as defined in IRC 6325 (a).
<br />
<br />Kind .of Tax
<br />(a)
<br />
<br />Tax Period
<br />Ended
<br />(bl
<br />
<br />112-31-82
<br />
<br />Identifying Nomber
<br />
<br />Date of
<br />i Assessment
<br />rd)
<br />
<br />Last Day. for
<br />Refillng
<br />(e)
<br />
<br />Unpaid Saience
<br />of Assessment
<br />m
<br />
<br />1040
<br />
<br />{C) _.____~
<br />508-86-9135 104-",0-84
<br />
<br />05-30-90
<br />
<br />$12,107.~8
<br />
<br />,0,;;
<br />
<br />,~
<br />
<br />
<br />'-~
<br />
<br />
<br />
<br />12,167.58
<br />$
<br />
<br />
<br />ThiS notice was prepared and Signed at _
<br />
<br />Omaha Nebraska
<br />
<br />"Y.j
<br />
<br />,0rUhis,
<br />
<br />the ~~!.11_ day of ...J_u..n~.___, 19 _8~
<br />
<br />- -, .~-
<br />Signatur~..--~ ~ _
<br />
<br />B~~ Y<: (~ .
<br />_r.LY..-~ilZ'a~Iill"-:t.._ .~ ... U'Zllj _ _Gr.Jlll.jLN a nag e r ______ ___________._
<br />(NOTE: Certiflcafe of oU!cfJr authOrized by law to rake aCknowJedgments IS nO( eS$lJntlai to the validity of Notice ofFeQeral Tax Lien
<br />Rev. Rul. 71.466. 1971-2, G.B, 409j
<br />
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<br />Part i Tn ~ Kept by RecofdH1~l Of-~jD:;
<br />
<br />Form 668(C) (Rev. 2-83)"
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