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1 <br />~o <br />Form ~ ,..,. ~~ t?aPaHment afthe Yraaa~ry=.hHemaC Aavarsue 3erv4ca <br />t~av ~~~~~,~. ~ ~i~e.ot er~rt fax Lien Under internal Revenaae Laws <br />i}!b'tfiGT.-._ 'S`erer{ P~{tM/t~+r _ For api/analUSabY FTacordlnp60fa <br />r- <br />.. <br />As i~ro;ridrid by seGttttt~` E.~2t .'8322: and 6313 of the Internet Revenue Cade,. <br />nctFCe is ~;iveov~fhat faxes (inctudtng'iitt~est and penaltiesD have been assessed n.^~ r <br />against th~~ following-narr~d taxpayer. DerltarK! fare payment of this tEat»ttty has 8G """'~} ~ ~ ~ ~ ~~ <br />been nwd~~, at rergralgs unp~.:,~~~~; there tea Gen in favor of the-United <br />States on allbOpeh'ty 'aid rtgh~s tc ;,lroperty taelcsnging to this taxpayer for the <br />amount of these taxes; :and addi".ianat penalties, interest, and costs 4hat may <br />accrue. I <br />-, <br />tYa.•ne of Taxpayer i <br />~cns~~ at~d rs~a clerk 1 <br />;dtEiLha.s.Ploral and Gift <br />Resldence~ - __ _ <br />115 West Third. <br />Grand Zslarzdy Nebraska 688CJ1 <br /> <br /> <br />ti1{ed of T!a <br />to <br />Ta= Pealod Esfdad <br />(!U <br />Q~ cf Asfswaterit <br />leJ <br />tdentitYlr~ Number <br />ftl) Unpaid Balance <br />pf Aaseaesment <br />tal <br />9k1' - OI 8106 11-].h-Sl HME 47-a579~b ?,99.33 <br /> 11-30-51 ~ <br />i <br />l Bid' t+7~579886 29.90 <br />t~acE oT rfa~ng Register aY 13eeds i <br />Coiasty of Hall ~~ ~ i 8,020.23 <br />Grand. Islattdj Nebraska. 688d}I <br />-This notice was prepared and spgefed at_ Gr sud Islaxadz. Nebraska < , an this, <br />the~`~r day of Jaeua.~y .t9_____^-_-__- <br />S:ynatur~_ ~ / }"1.L G Tide <br />Ltile j Revenue fftrer <br />I 0 <br />(iia{t !'ert10.ratrn .ot. ctPlQar. eYttawYFStl. by +ssr zo take acknowteCQmanta fa not assand(a0 to the vafeglry 40 Notice of <br />-rde~.+ ra.~.. char a.c:tit- 2s+.as.: tsso-r:C.s. xas_p <br />P~1.1 -' To tae ttept #X recOrQiiyi ot#iG~ J Form 668 (Rev. s-781 <br />~._._ <br /> <br />