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<br />I <br /> <br />Forh 668(C) <br /> <br />Department of the Treasury -ll"!temal Revenue Service <br /> <br />(Rev. Feb., 1983) <br /> <br />Notice of Federal Tax lien Under Internal Revenue Laws <br /> <br />Qnab~ '#:7" <br /> <br />,~_.t' <br /> <br />Serial Number <br />48433 <br /> <br />FO/ Optional Use by Recoroing Office <br /> <br />-, <br />I <br /> <br />I <br /> <br />District <br /> <br />".l~,; ~F <br /> <br />G6B <br /> <br />664 <br /> <br />As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, <br />notice is ,given that taxes,(in~l~nll-lnter~$t and penalties) have been <br />assessed!lgainst the'lonoMng:named ia'Xpa~r, Demand for payment of <br />this Iiabillly has been"made" Iim,ill remains unpaid. Therefore, there is a <br />lien in favor of the..!Jnitad StatltS00n all property and rights to property <br />belonging to this t!l)!:!tl!Y!',r ~f, t!!~jamount 01 these taxes, and additional <br />penalties, interest, and costs Ilial may accru~". <br /> <br />NameofTaxpayer Landmark Wes t Insu ran~e Serv ices, I nc. <br />(A Corporation) <br /> <br />84 _ 004633 <br /> <br />Residence <br /> <br />1804 W Forrest, St.' <br />Grand Island, NE 68801 <br /> <br />IMPORTANT RELEASE INFORMATION: Wllh respect 'lo~ch assessment listed below, unless <br />notice of .lien is refiled by the date.. given in column .{e), this notice shaH, on the d.ay following <br />such dale, operate as a certificate of release as defined In IRC 6325 (a). <br /> <br /> <br />~~~ <br /> <br /> Tax Period I Date 01 LlIs:"~ylor <br />KInd 01 TlIx Ended Identifying Numr.ar A5sessment ""lIIing <br />(a) (bJ (c) (d) Ie) <br />941 12-31-81 47-0623063 03-19-84 04-18-90 <br />941 03-31-82 02-20-84 03-21=90 <br />941 06-30-82 02-20-84 03-21-90 <br />941 09-30-82 03-26-84 04-25-90 <br />941 12-31-82 02-27-84 03-28-90 <br />940 12-31-82 04-09-84 05..,.09-90 <br />940 12-31-83 05-21-84 06-20-90 <br /> <br />2, <br />2 ,488:,1)& <br />2, 4,72 , 71 <br />2,579.29 <br />1,336.03 <br />15:4,.6'5',; <br />203.37 <br /> <br />lilt <br /> <br />~l'* <br /> <br /> <br />~~--\''; <br /> <br />~~ <br /> <br />II!l!I <br /> <br />Place 01 Filin1l . <br />Register of Deeds <br />Hall County Grand Island, Nebraska 688 0 lTotal <br /> <br />12, &64,.97' <br />S <br /> <br /> <br />. <br /> <br />Qnaha Nebrask.a <br /> <br />'<!1!lI <br />.im'lI'lls, <br /> <br />This notice was prepared and signed at <br /> <br />28th Augu~t 84 <br />the_day of .19 <br /> <br />>\(;5 <br /> <br />'-\;d;~-ld"Jf<<i:( r Cnl ef, Special Procedures <br />~OTE; CerttilcattJ of officer avlho(ll.W Dr law !O taAe ,1I;J<rlO....ledgments is no! essential to rhe validity of Notice of F6detB1 Tax <br />Lten Reli Rul 71-466. !971-2. C. a 409; <br /> <br />Signature <br /> <br />:-',,: ; <br /> <br />L'c ---:f'p: t)v q,:"".:~:; ,q:..t (;iJ.Cl' <br /> <br />Form 668(C) (Rev, 2-83) <br /> <br />J <br /> <br />L <br /> <br />L <br /> <br />~ <br /> <br />L. <br />