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<br />,"!;,,1 -L!-1H!~C <br /> <br />'" b;<;'II)oI(d <br /> <br />I <br /> <br />--~._-~--,.- ------r------..---..-.-- .--~-.-------------,-.---,-~---.---,- <br />Form 668(C) i s p ,() < __ .p~a~:"enl ofthe Tr..asury -Internal Revenue Service <br /> <br />I (Rev. Feb , 1983) 1:~:;c~:=~i!!_!~!ede!!Tax Lien Under Internal Revenue Laws: <br /> <br />DislrlGt"...,."""",, IS,ll,mu" I Senal Nu~r For OptioM1UsebvRacdidihgOlflcir <br />Onaha n. I u':4\88 8 7 09B 119 <br /> <br />'"' ~__._~~_~~,' v..., --; <br /> <br />As prOVlctld by sections 6321 , 6322, and 6323 oUhEllntemal Revenue Code, <br />notice,. is"glVen, thl.!t tax.es. (in" cl~._d}ng.6 Ipt nd" ,penalties) have <been. <br />asses8ed':_gslnst tljlt f~Vi"g-narnect\lta Demand for payment of <br />this liability has been made, but It remains un . Therefore,~here Isaiien <br />in favor of the United States on all property an . . htsto property belonging <br />to thls,taxpayer for the"-amountof th~:tlix~... and additIOnal penalt\e8:, <br />interest, and costs thilfmlly8ecrue. " <br /> <br />"!;;~ <br /> <br />.. <br /> <br />{~} <br /> <br /> <br />84~OfJ.Q:t3 <br /> <br />Name oITaxpaye'H----~b--l--A. . . --~-~-----.- <br />cermes, iua e . <br />d/b/a Big John Restaurant <br /> <br />Residence <br /> <br />720 West 17th St. <br />gFand"~ I S ~and, Ne 68801 <br /> <br />,.IMPORTANT;RELEASE..INFoRMATION: With r..sfl8CI to each assessment liSted,'beloW,untess <br />noNceof.lien-is..ef\led Qy the dale given in column (e), this notice shall, on the day following <br />,. such date, operale as a certificate of.rel6ase as defined In IRC 6325 (a). <br /> <br />J<i/idofTax <br />Ia) <br /> <br />I TaxPerlod <br />Ended <br />, IbT <br />t6-30-S4 <br /> <br />Identifying NUmber <br /> <br />A:::;:; ',' l <br /> <br />(0) <br /> <br />941 <br /> <br />147 <br /> <br />0:> 94'1 or- ----r-r=~4-n-l U -:i4 - !lU <br /> <br />I I <br />I <br />I <br />I <br />I <br />i <br />i <br />k <br />I <br />I <br />I <br /> <br /> <br />Place 01 Fili"ieg i s ter of Deeds <br />Hall County Grand Island, Nebraska <br /> <br />i <br />____..l. <br /> <br />3,625.50 <br />$ <br /> <br />688010lal <br /> <br />Qnaha Nebraska <br /> <br />This nolice was prepared and signed at <br /> <br />,ontt)is, <br /> <br />5th October 84 <br />Ihe ___.___ day of _____~.. 19 _,__,____~, <br /> <br />-Signaiure-~lfL?~~ <br /> <br />Kay Po'l\.r.e <br /> <br />: Title <br /> <br />Kevenue Oiiicer <br /> <br />(NOTE: Certlficare o! off:cer authoflzea Df law ro taka aCk.nOl1lleogmen!s IS nor essential to me .'Slidity of Notice 01 Federal Tax Lien <br />Rev. Rul 7f.466. 1971-2, C H 409l <br /> <br />P.n 1 - To be KepI by Recofding Office <br /> <br />Form 668(C) (Rev. 2--83) <br /> <br />I <br />........ <br /> <br />L <br /> <br />..J <br /> <br />L <br />