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<br />I <br /> <br />Form 668(C) <br /> <br />,:,,d " HmHr);)(~'r <br /> <br />~ ,~; Department of the Treasury. Internal Revenue Service <br /> <br />+ <br /> <br />(Rev. Fab"l983) <br /> <br />;:' a <~if.,* oj,.f.ed'f.Jl, Tax Lien Under i nternai RevenUe Laws <br /> <br />I Dlstrlql <br /> <br />Qnaha 47 <br /> <br /> <br />serial Number <br />48134 06H 360 <br /> <br />For OptIonal UBe-by RecordJn9.0flice <br /> <br />l <br /> <br />',., <br />As proVic:ted by sj(:ll~ns 63~1i6322.l!ndf1'32Jofthe Interna' Revenue Code, <br />notice- isslyen that taxes (Ineludlng Interest"llnd penalties) have been <br />assaasad};.gsinst the following-named tsxpayer4 Demand fOi payment of <br />this Ill!. blllty has bC\en mfld~.:Jo.' but,. iJ r~'fl. !lills, ~npa. id, The!efore. there is a <br />lien In favor of the JUni19d'!litat~$., 011'1111 .p:roperty and nghts to property <br />belonging to this taxpayer for the amount of these taxes, and additional <br />penaltles, interest, and eosts that mayaecrue; . <br /> <br />Name of Taxpayer '. <br />Smi th, Velma L,.. <br /> <br />84 ~'04366 <br /> <br />'Iii <br /> <br />>it <br /> <br />-~ <br /> <br />Residence <br /> <br />1414 St. Paul Rd. <br />Grand Island, Nebraska 68801 <br /> <br />Kind of Tax <br />('1 <br />1040 <br />1040 <br /> <br />Tax Period <br />Ended <br />rbl <br />12-31-7 <br />12-31-78 <br /> <br /> <br />IMPORTANT RELEASE iNFORMATION: With respect to each assessment Iisled below. unless <br />notice of lien is retllec! by the date givan In column (e~ thIs notice shall, on the day following <br />auch dalll,operate es e certllicate of release as defined in lAC 6325 (a~ <br /> <br />I <br />I <br />I <br />I <br /> <br />PIece of RIinQ.. <br />Kegister of <br />Hall Coullty <br /> <br />needs <br />Grand Island, Nebraska <br /> <br />6880 l:rotal <br /> <br /> <br />This notice was prepared and signed at <br /> <br />(.(naha Nebraska <br /> <br />i;\'1I <br />'1~:thlS. <br /> <br />21st August 84 <br />the_day of ,19 <br /> <br />Signature <br />ACS <br /> <br />Y .;$)(../i3;. <br />':.! "'-<<-Ui ' L- , u:~_ <br />. Donal ,. . t:hlers <br /> <br />Title <br /> <br /> <br />l':\::!(t i <br /> <br />b'i' S't."-CD[(iirH~ ,~:qi('(' <br /> <br />Form 8lII(C) (Rey, 2-83) <br /> <br />~ <br /> <br />Chief, Special Procedures <br /> <br />(NOTE: CertUlG8le 01 offICe{ authonled by law to ti;i;.e ac1>.nOw!edgnumIS IS not essential to th6 validIty of Notice at Fedetal Tax <br />LIttO Rev Rut. l14li6, 197f.2, C a 409; <br /> <br />L <br /> <br />L <br /> <br />.-J <br /> <br />L <br />