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<br />Form tl6IICI
<br />~ Fob, ':~,_,~,_,_,_,~otfeder' Tax Uen Under Internal Revenue laws
<br />o;stril;l,-::"'~" ii,. t,~Qj'jlIHi,~
<br />Onaha 47. . ':;.'49002 09B 234
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<br />~ ,'-" --"~-~~-----~~----~---~----------
<br />~ot the Treasury ~ Internal Revenue Service
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<br />For Optional Use_by M(fCording Office
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<br />..... ~j~ hiP ~;lnnii A...~~1 A~~!J ~~ C.iJ-'>":!! ~"h.=- L......~__... ~"-_....~.,Q, ,..............
<br />;otlCe "S';gIven thi"'.e;-' Indiidi.i9in- ,...'- .. ;;;;;;m;;;)ha;; ;
<br />_-"'di~15t tile fOlloJi'lQ-named t Demand for payment of
<br />this lillbllJtY has been made, but it remains: ........ Therefore, there is alien
<br />In favor of the United States on all property aocnlghts to property belonging
<br />to th~ tUPlIyer for tnec8l!llOUl'lt of these f~ and additional penalties,
<br />mtfmiift, and oos1S thai maY._il_ccrue" '-'_''-
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<br />'Name of T ax:oayar'----'
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<br />84-005675
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<br />rntpnt r\.n.~I...ln'" A hU..,..n T
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<br />Rtlsidence
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<br />___ _____,___.._.m.~.___..,___.._,,___. ___'~______
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<br />P.O. Box 1443
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<br />I. lMPOOTANT llliI.EASe,lNfQRMArlON W,H, '''''",,<:Ho ea<:It _""""" li$tlld'_'; ,_
<br />f'~__~; ~"'i ii' r~ by, -bW Jala Wfi;jj! in ;:.oktffif"l (ej. it'ii5- i"QHC6: to-Haii, on tL '~ng
<br />_dele. __... _of"""'" ,'is .""finOO'lntRC 6325 ('\l
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<br />n..~'iIt'. -r..-,ttD.ft.~
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<br />a.ggn9
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<br />!07 -04-90
<br />101';;,.04-9-0
<br />j0'1-11-90
<br />jo.7:-.4-90
<br />iU..IIJ.-98
<br />1&8;;:'0'1-"
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<br />!T."flfJliod ~.e-d'
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<br />.1Ond(:'T~ e.r-t_,~~I~-::__+ M"';': *,.
<br />1040 '12-31-78 1 506-54-3976 106-04-84
<br />1040 12-31-79 IOe.,o....,st
<br />104.lI :1.2-U-80 I06-11-84
<br />1040 12-31-81 ;06-1)4:'84
<br />1.04D ,12-31-82 10'1_64-84
<br />1040 : 12-31-83 '0'1-02-84
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<br />'Pl_OlF'illIl!I ~---_.~---
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<br />Register of Deeds
<br />Hall County Gr~nd Island, Nebraska
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<br />Th:;'~~~~_"'id~-tWiii
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<br />lh&lllJL day of ~1.2-l.t~L 19.H
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<br />Si;7.ai...:,e, Z "
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<br />ACS-.,-~" -JUi~. ..H'.H....~ Spee i al Pl'..elhlP..
<br />{NOTE.: ~(J!~~Dctby"iUr8Q-4G~f$1'tOf~fOtM~ciNolicttotF<<llnl TuUM-
<br />... Rw )o'~_.f6!I !97~'2 C B ..-{l9J
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<br />Part 1- To be Kept by FIec:or!li"1ll Offi",
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