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<br />FONn "1Ir\
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<br />,.,,,,.,,,.l)4Ipartm8flt ot the Treasury. Internal Revenua SetYlce
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<br />c.IutiC&Gf Fedifat:Tu lien Under internai leve_ Laws
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<br />Oisiriei
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<br />I ::>eftai Number
<br />Onaha 47 1" ,},49160 09B 394
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<br />As e.,rovIdicI by seetl9ns 6321, 632"2. and 6323 of the Int~rnal Revenue Code.
<br />lIct~'ls:'iiwm that ~i1x,es(ineiuding interesf'~ndpanaltles) have been'
<br />a,"$fAf~aklst th: jc!!(!~-!!a~ ttlxpay~ Demand for paymertt of.
<br />this Ii~ffty has been made, but It remafnll unpeid. Therefore, tnereis Ii
<br />lien In, favor of the United States on all p~y and rights to property
<br />belonging to this taxpayer for the amountof~se taxes, and additional
<br />penalflas, Interest, ana costs that may,accruei
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<br />Fer Option/1iu.,epyFlf>conilng Office
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<br />Name ofTaxpayer I
<br />Smi thee, Lee D. , I
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<br />935 So. Locust ----------l
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<br />Qraj}iJlsland, NE 68801, ",', " ,_~
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<br />1~'ANr,~ i~T:cN: Wt~.,,~ '"=,, """~"".,.,, ',>>,; be!o>"!!!'~
<br />i 11OtillIt,(lIHen'18d"filold bI! the,dale gMln '" cD'urnn 1<". t!':'s. notJ<>> :'r.c' "'" troll llay..lOlIOWIng
<br />!!Ul:h dat&,' 'op8l1Ile'8Il a <:enlficate of relllllse as d9Ilne.i'1n If!!; 632!l (at,
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<br />84-- '0059~,Q)
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<br />Resk:lenca
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<br />Tax PefIod
<br />Ended
<br />(II)
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<br />Identlfyin.r~
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<br />.hll-30-Z&40N
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<br />O.te.~f
<br />A.....ment
<br />(<1)
<br />105-17-82
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<br />Deeds
<br />Grand Island, Nebraska
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<br />6lf 8'tial
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<br />PIaoeofRling
<br />Register of
<br />Ha! 1 C~unty
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<br />Qnaha Nebraska
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<br />This notice was prepared and signed at
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<br />5th
<br />the_CaYo!
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<br />November 84
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<br />Signature
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<br />'c:;;; ~ :;;.?;:;;;:.-.:::j1' iTitle
<br />Bra~"""':r'nnett' '_"-(1206) i GrQup Manager
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<br />{HOlE: CMihca1f: 01 olliCflJ( iJlJ!hOIUed by JSW io lake (ff;~f!01NieOgm61l(S is no! essentu,l to t!le validity 01 Notice 01 F~I fa.
<br />Li6N ~. Rui. 11~ J9712. C 8 4()f)J
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<br />Form8OllC)(Rev, 2-83)
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