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<br />Form 668(C) Ie (3 :,:~ :::: 0 t~: _ ~8oepa.~,mentoftheTreaSUry..lntem8IRevenueservice
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<br />! (Rev Fe!>, 1983) I ~.:~~ of Fede~Q~ Tax lien Under Internal Revenue laws
<br />________J__.~.----...--_-..-.---------=--------,--.------,--
<br />DistriC! .....;;........l$sl~ i SerialNU1iIl:ler ' For Optional Us& by RocordIng Offlce
<br />, Onaha !If/; j T3 ',48870 09B 102
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<br />As ptOvid~ by sections 6321 , 6322, and 6323 oytha Internal Revenue Code,
<br />notlce 'l8jJlven that taxes. (Including lntereet^'and penalties) have '~
<br />asseesed.ln~tfte lOl~lng,,"a,", ttitflayel'. Demand..for payment of
<br />this IhibllltYhas been n'i8d'e, 'but 1t remalns'unpald, Tl1erefore, there Is a lien
<br />In favor of the United States on all property ancklghts to property belonging
<br />to this taxpayer for the amount of theSe tax~ and additional penaltles,
<br />Interest, and cost's,thl!lf.mayaccrue. ',-
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<br />NameOfTaxpayer~ewer Root-er Serv i~~&-Plumb-i~g:Inc--:--i
<br />(A Corporation) !
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<br />1021 E Stolley Park Rd. :
<br />13ran,d IsI~nd, NE 68801
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<br />84 --005269
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<br />Place 01 FilinQ. ~-----~----
<br />Register of Deeds
<br />Hall County Grand
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<br />Island, Nebraska 688t~~
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<br />iU4-Al~:""O :~
<br />,04-25-'?:l' 1',"'$$ 8
<br />104-25-90 ,. 3
<br />105-02-90
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<br />Residence
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<br />. lMPORTAfI/T R,i:I..EASE INFORMATION: Wrth r&spec! to each.asseesmentlioted be\QW, unless
<br />.~Qllce of lien.iS refiled by lf1e date Qlvlln In column (e), Ihlo notice shall, on Ihe day following
<br />such date, Operate as a certificate olreklase as defined '" IRC 6325 (a),
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<br />I TaxPeriod
<br />.Kmd of Tax Ended
<br />'(Ii) , (;if
<br />Ir4r~ ~ IOlj-3U':'tsJ
<br />941 109-30-83
<br />941 112-31-83
<br />940 i12--31-83
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<br />t I Date of
<br />Identifying Number I A$sessmenl
<br />(e) '(d)
<br />'H-U-a4.1.~llU I~~'
<br />i33-2('-iL
<br />!03-:.., -84
<br />!04-02-84
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<br />'1~7
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<br />20,446~54
<br />$
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<br />Onaha Nebraska
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<br />.nis notICe was prepared and signed at _. _
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<br />, on. this,
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<br />1st October 84
<br />the_~_____ dayol________, 19..___
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<br />- Signature-- ~~c:-_:;;;::'""8~TT\ile
<br />Bt~QY ~~n~!t t1211) ,
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<br />Part 1 - To be Kept by Recording Office
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<br />Form 668{C) (Rav, 2-83)
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<br />G:"o~p I\18.nagcr
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<br />tNOTE: CMfmcste o! o,.fflcef ~morjtfKi Oy faw to tai<e i:tCMoW~rS IS not essentIal to the ~"aIiChry of No(1Ce ofFederai Tax lJtm
<br />Rew Ru! 71~465. '971-2. C 8. 4()9;
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