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<br />O'.I!.DlPl. .' ...' . .' .', 0' ~~,.,~ (" t' "" ,:~. ..r1..,.I.itoltlt . ,of the Treasury .lnt.rn81 Revenue Service
<br />Form ~...~;:;: '. ~elF~ '(, . f C> c.. J 'J '_ ,: '>~'1
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<br />I (R.V.Fal>'~==~~~'.~~!':; Notice of Fede{jll Tax lien Under Internal Revenue'Laws
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<br />Dist~!:l.,' ' _ ,_J .'--, :::::-r---~SeriaINu1nber------- I F"'OPtlOnalu"by~...ec"'dlngOfflc.
<br />Omaha 47,,~ U,t"~,,,i; :,1 ,diAn774 058 521, -
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<br />ASP'.~~dj.'d by sec~jons 6321, 6322~ and.. 6323 . ,Internal Revenue Code,
<br />n. otli::e.,. .....r Illlli' I.ven. thlit taxe~c (In,~lud. .,.11.11 . g I. penalties) have... .been ,.
<br />aS8eSlie . galnst the followin!HOI(med Qemand for payment of
<br />this'lta,bU .hasbeen made, but It remall; .' Therefore, therels'a lien
<br />In tavo'" of the United States on allp(operty al'\d::tl9hts to pr~perty belonging ,
<br />t.o thia. " taxpayer for the li!1l]~l./I:It ()f''t/l!,se ta~;}and additional penalties, I
<br />interest, and costs that may'accrue;' . CI,;';;:,
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<br />NameofTaxpayer Rice, Wesley L. & Patsy I
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<br />ResldE!nce
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<br />607 E Yund
<br />",Gran,d .1sJand, NE 68801
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<br />~~~}~~p9RTAN-t.':~;U~.A;S~, U\u:q.~~4j1-.-T!0N: With respect to: each assessment listed- below;: ,unless
<br />_. tiotice:__ot,{je.n)$'Jeflled:_by_,th~~,date given in column (e), this notice shal!, on the day--fClIlowing
<br />.,-~ sucb date.' operate as,a certificate of release as defi~~a irrfRG,~325 ~a),
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<br />(e)
<br />507-32-5177
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<br />84 -003670
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<br />i 3,243.07.
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<br />Grand Island, Nebraska
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<br />This nolice was prepared and signed at ~__
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<br />Om~ha... J'l,ebr i'lsk ,a
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<br />Signature~~,--;7~----:ntle
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<br />__8352_____.__ Rebecca L__i~):l_s~k~~_L__ Chief, Office Branch
<br />{NOTE: Certific8le of ot!icerauthoriz9d by law to take acknowledgments is not essential to the validity of Notice a/Feelers; Tax Lien
<br />Rev. Ru/. 71-466, 1971.2, G.B. 409:1
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<br />21st June
<br />the_ day of
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<br />84
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<br />P.rt 1 - To be Kept by Recording Offir.e
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<br />Form 668(C) (Rev, 2,83)
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