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<br />
<br />Fmm 668(CI
<br />
<br />! lRev. Feb.. 1963)
<br />
<br />~---~----_.._-----j
<br />District
<br />
<br />i ;~ :.J 0"......,...,-.... .p.gepartment of the Treasury ~ Internal Revenue Service
<br />
<br />,__,:,i.:1\1oiil of Federill Tax Lien Under Internal Rev8I1uelaws
<br />'-~-=:~---'TSerial,Number---'-------'---'-----i- ForOptio""lf)sobyRecorol~gOffli;a
<br />~~1:" 48952 09E 185
<br />
<br />r
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<br />
<br />unaJla
<br />
<br />___---+--________~~_i.____'_.:...~_~_,____._~____;
<br />
<br />As provlcMld by sections 6321, 6322, and 6323 of the Internal Revenue Code,
<br />notice, is,',;, Iven that,_, ,tax,e,'s, ( Incl,u,dlng" "int~$t,,_,.and penalties) have been
<br />assessedtll9a1nst tlJel fol~wlpg-na."edta"ytlt. Demand for payment of
<br />this lIabllitY has been made, but it remains unpaid. Therefore, ,there is:a lien
<br />in favor of the United States on all property andllghts to property belonging
<br />to this taxpayer fOf the amount of these.aJ(el; and additional penalties,
<br />interest, and costs that may accrue,'
<br />
<br />84 --085444
<br />
<br />~...",.~
<br />
<br />Name of Taxpayer ---.-~---.---._.---.-----.-.--.
<br />Kopystynsky, Robert L. << Elaine M.
<br />
<br />-i
<br />
<br />Residence
<br />
<br />
<br />3228 W
<br />
<br />68801
<br />
<br />KlridOf Tax
<br />(OJ
<br />
<br />Tax Period
<br />Ended
<br />(bl
<br />
<br />Date of Il..ast Day, for
<br />ldentifyi~; Number Asse,::' ,..,t I Re~!lng
<br />
<br />-~~-----:----- -"--~-~~'
<br />5Q5-56-5~'ld 05-~J-84 j06-27-90
<br />!
<br />i
<br />!
<br />
<br />
<br />IMPORTANT RElEASE INFORMATION: With respect, to each assessment listed below; unless
<br />notice of ljen ~s reftted by the -date 91'"en in column (e), this notice shalL on the day fdtlowing
<br />such dale, operate"" a ce<t,ficate of release as defined in IRC 6325 (a),
<br />
<br />1040
<br />
<br />I
<br />! .. "'" ... ~ "'...
<br />i.l~-J..l,-u..:)
<br />
<br />Unpald,~,
<br />ofA_nt
<br />fQ
<br />1$ 1.553.38
<br />I
<br />I
<br />I
<br />
<br />
<br />
<br />I I
<br />i :
<br />-- ,-_.~-----~, ..--.-...---t
<br />
<br />i 1,553.38
<br />$
<br />
<br />Place of Filing
<br />Register of Deeds
<br />Haii County Grand
<br />
<br />T C" 1 n....rt
<br />.1...:>"''-''-&......,
<br />
<br />Nebraska 68S1jcfal
<br />
<br />ThiS notice was prepared and Signed at
<br />
<br />Onaha Nebraska
<br />
<br />.onlhis.
<br />
<br />the !l t h._ day of Q.<:.t_~b~r 19 .~~,
<br />
<br />,ACS
<br />
<br />'1:)(,:'U'<:<f',.'>'/, ()?;.://'Tille
<br />~_~' ...- "- t-t.---_~t.--~;
<br />Do.nal.d- . Ehlel'..5...____ ,:
<br />
<br />Signature
<br />
<br />G.b.ieL,l>.Q e cj.Jl._L.P.J:Q c tL<!!!.r.H____
<br />
<br />(NO I t;; l~i1mCa[e 01 omce: auUlofJze(1 Dr- ,'S\\' w raKe aCioInowleagmems f~ m-'f cf;;):;;~mldi:u lilt: VdfIUlI}' vi ;,iVHi.;tt ",i rr:nrefi;li 1<:111, Lien
<br />Re,. Au! 7'1-456. 1977.2. C.B_ 409)
<br />
<br />?art 1 To ~ Kept by Recording OfftGt"
<br />
<br />Form 668{C) (Rev, 2-83)
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