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<br /> Form 668(C) r {.. e' Il ('i ......__~"",-'L, -~t} Department of the Treasury -Internal Revenue Service
<br /> '..t.' "-' 'c '""
<br /> (Rev. Feb., 1983) _ ':::~_.:_~auee of Federal Tax Lien Under I ntemal Revenue Laws
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<br /> District , ;.,.c~~__~ '......",.. [.~~~iai Number For Optional Use by Recording Office
<br /> ana~ (:';1"7 ,,~ 48237 06B 463
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<br /> As r.rOVided by sections 6321, 6322, and 6323 ofthe Internal Revenue Code,
<br /> not ce is~glven thlit Utxes (iru:ludin~ i/l~restand penalties) have been
<br /> assessed':agains.1 :the !following-naiti8d tllkpayer; Demand for pahment of 84- 004631
<br /> this liability has been made, but it remains unp'aid. Therefore, t ere is a
<br /> Iien!n favor of the Unit.eel. States 00 Ill' propel;ty and rights to property
<br /> belonging to thi(i taxpayenfor theam9llnt of these taxes, and additIonal
<br /> penalties, inteies"'~'lil1d costs that m'lly..~ccrue_
<br /> .. '~'"" '",
<br /> Name of Taxpayer S.
<br /> Klein, Mitchell L. & Kathryn
<br /> Residence
<br /> 716 So. St. Joseph
<br /> Hastinp's Nebraska 68901
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<br />t.',k:_ ~"',~V"d<':(i!: i.l., t}!~V"!i'
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<br />IMPORTANt. nr:.U:ASE INFORMATION: \l.JitIl iespect to each assessment listed below~'untess~'
<br />noIlce.ollien is mllled.by the date given in column (e), this notice shall, on the day fOIlOW..iog..
<br />such date;ope<ate as acertillcate of release as defined in lAC 6325 tal, .
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<br />Tax Period Date of i Lo, 'Jay .for
<br />Ended Identifying Nurt,ller 1\ssessmer, , lieliling
<br />('J (e) (d) (e)
<br />12-31-81 505-64-1361 05-23-83 06-2-2-89
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<br />U"pill~J:lr.I.nce' .
<br />orASs.ssmerit,
<br />(f)
<br />$ 1,30':8:;._0,7
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<br />.x"!
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<br />Kind of Tax
<br />(s)
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<br />1'040
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<br />';tI
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<br />Place of .FlUng
<br />Register of Deeds
<br />Hail County Grand
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<br />T_1:~_...:l
<br />.1;:)J.t:1UU,
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<br />Nebraska
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<br />-. 6.8.S () rotal
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<br />.;'.',,';,-,;-T).' ,~,<; tC:~;\_~:,,{,:,\:fi "tl}
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<br />This notice was prepated and signed at
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<br />Qualla Nebraska
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<br />tha~daYOf ,July
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<br />,1984
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<br />.___~.' __"..: ,"::j,V-!;~_ ')fl:i:<0 :~t.~ ~~
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<br />Signature,:!)" '.} ft I Tille f i ,.,.'" ., " '.~':,;.~;',:;~:~}";; ~i~
<br />KR~L,tn~/c0V Z .. Revenue Of 'ce~ . ',"""";<"""""""" 'J'
<br />(NOTE: Cenilicate 01 officer authonzed by law to take acknowledgments is no' essential to the validity 01 Notfce of F~ Tax ' "U', ......':....-.....-........':....:-.. .
<br />Lien Rev. Rul. 71-466. 1971-2, c.a 4(9) - .,~, ~
<br />Put 1 To b. Kept by Recording Oilice Form68ll(CI(Rev,2.a:l) '"-,
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