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<br />Di8lril1t
<br />
<br />, Netke of F.e1' Tax Lien Under Internal Rev_ ~
<br />
<br />.J._,______.~~_,._~~_,;.~...~._~__,_"__,~--.,...~..,-..-.~_~___~__.______,__-"
<br />rSerialN~r . f___.Forq,__by~~
<br />\,J 4iti;H U6B 862' .' ,..;::..;
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<br />,,,.,p,p.rt_ of lhe Trusury. Internal Revenue Service
<br />
<br />Fo<m 66ICl
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<br />, (Rov FoI>.. 19831
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<br />""t 1
<br />
<br />Clnab&. 41
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<br />1,';;" .
<br />AlprovIdjd by ~nd321, 6322, and 632a.~,thelnt.mal Revenue Code, i
<br />not~.' ,'IS IS"~..:~OI. ".' n thtIt talles.. ( l.ncIUd.'.. .,ng In. t....... .... '.. '-nd. penalties) have been
<br />~st thct foJlowt"9-JlllMCt ~;,'Demand for payment of
<br />tt1llIflabllftYllas bee1'ImMe, but It remains unpMtl:Then!fore, there In lien i
<br />in fllY_of the United States on aU property an41fgh&s to property belonging i
<br />!o tfQ taxpayer for the M10unt of these taxllfi and additional penaltllM, I . "It O' A.... 912
<br />Interm, and costs that may accrue, ',.' . 84,...... . U':t \
<br />-Nime'OfTaxpayer'. .... "--"'~---'~--'-'1
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<br />Major, \,jary 0.
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<br />P.O. box iS4:.!
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<br />IMPofl;rAHttllaEASEJNfORMATiON: ,'/1m ~,'1<,<,,""cII_easm9J\lll__,\Jnle8s
<br />,dKJtiOe"m-"tien~.1& _f~lttd.t.tJj/>~ date -~ H1 column H.~l !h~s no~'e s~latf, on tria day'fo!k'JiMng
<br />SiIdI...." -'9'as,a<leltficateol ,_... as deft""" inlflC ~'!aJ -
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<br />'tarf'frtOdi Oateof' j LatOay:fo<<
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<br />li'l 7, !1l13 .44
<br />$ 1.~tl9.01.
<br />$ 1'11.94
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<br />Register of l.kHHls
<br />da!! <'XH.!n ty fjr ~nti ! $1 ~nf! i -N-~br'8Sk!! t!_~*""
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<br />19,28:4.39
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<br />This 00I~....a<l prepareO and slgnea at
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<br />UltlHUI NeUraSKa
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<br />12th
<br />the "__,_
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<br />day of~~? teJllbe, ~ 9 i' 4
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<br />P~f.t 1 To tAil Kftpr t>y R-SC()rdm~ Qft-ry
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<br />F",", 6iH(C) (Rev. 2,83)
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