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<br />Form '"""",
<br />(Rev. Feb., 1983)
<br />
<br />I Dlst,.
<br />
<br />Department of the Treasury -Internal Revenue Samce
<br />
<br />+
<br />
<br />Notice of Federal"Tax Lien Under Internal Revenue Laws
<br />
<br />Onaha 47
<br />
<br />J Serial Number
<br />1~9047 09B 279
<br />I
<br />
<br />Far Optional U$ii by Rt1cording Office
<br />
<br />As cnovJdjd.'.... .......... by secij~S.6321, 6. 32. 2. an.d 6323. Of...t.he Internal Revenue C..ode,
<br />notieels,;gtven that taxes (Including interest.nd. penalties) have been
<br />as..,ed.,.inai ihe foiiowlrig,named taxp.y~( Demand for payment of
<br />this Il@illty has been made, but it remains unpaid. rner..tote, inem is Ii
<br />lien In favor of the United States oil ail prl:l~y and rlgllts tu property
<br />~~g !.?...!~!!a_x!jlt!J~r.!h! .!.~~~':..!!_~se taxes, and additional
<br />,.,.ru.n....., U'''V1'C10l, a'BIoI- "';V.I.:;:) "..at InaY iU;:"'-'-U.~
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<br />=:;,;Cc;;
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<br />84 - 00582,1
<br />
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<br />NllrneofTaxpayer
<br />Ayala, Thomas & Lurline
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<br />ResIdence
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<br />224 E 2nd St.
<br />Gra.no island Ne 68801
<br />
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<br />
<br />identifying Number
<br />(e)
<br />466-1'0-4810
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<br />fie) oa OA
<br />r'u-,,"uv-o"*
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<br />03 -il-7 - 96
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<br />'''--TAUr """ CA"C l.lt::'_h>l4.AT1l\tIJ. \AI!-t~ ~..... ,-r. "'"~... ""~__'C"'';'-'~,. .. h.. i ~'- .-.~. l
<br />~.Jr,.~_':.~ ~MA~~n-, "'~.... .......,.......... ...,',..........., ~""". . "~,"''''''' -,' '", ,V\l_~
<br />notiCe of lien is./&filed b'f the dale gi">'@'l In column it"'. 1'.3 noliGol "h....., ,)!'tItle Oll\f'followIng
<br />8UCh dale, operate aneerliflcate 01 - as defined In IRC 6325 ial, ..' . l'
<br />
<br />.- -~;q", ',," ,
<br />
<br />of Deeds
<br />Grund Island, Nebraska. 68811,...
<br />
<br />1";:3S9.-32
<br />$
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<br />'_, ',..';'},;{ OJ.
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<br />""~ -0
<br />
<br />Cknaha Nebraska
<br />
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<br />
<br />This nollce was prepared and signed at
<br />
<br />25th October 84
<br />lIle_dayol ,19
<br />
<br />
<br />Signature
<br />
<br />I Tille
<br />- ....-- I
<br />
<br />ACS-i~JYU?~.~JJ I Met;ng Chipf, Spp('i"l PrQ(,'~d'lrU
<br />(NOTE: C~rl#~iiie of -oitlCfK But.horiled by law to t4ke nCAoowiedgmenrs is rnN eSSffflilsi /0 the validity 01 Notice 01 Fed8fa1 Tax
<br />UINt Rfi- Rut n~ 1971-2, c.a. 409i
<br />
<br />l-',-J\ 1 "(:) b0 :-" ~p1 t~..; ne-<:OfQ!,\q ()ft~Ct:>:
<br />
<br />Form 1ltIIlC) (Rev. 2.03)
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