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i.. _ - <br />Form ~{i'i~ ~ ~ ~~ „ D@Partrn@rt! of tho Treasury -Internal Revenue Setvic@ <br />!, {Rev'SaO4en2b@r197aD~ 0$aCe of r~~erai ~'ax Lien l9nder 9nterr~al Revenue Laws <br />~°- - - -- <br />iJf&trii:t ~ Senal NUmt~r For OptronaJ Use bV F@cording OStice <br />c~tlatra ~.7 <br /> a4a19? <br />_ <br />As provided by sr~ctii,r,s 6321. 8322 and 8323 of the Internal Revenue Code, <br />notice is given that taxes (including interest and iaenaities} have been assessed <br />against the foil~aFtg-n med taxpayet :":~e1tY3r,d for payment of this liability has <br />been made <br />t ii~~ma <br />b <br />' <br />~tQ <br />id: 'fih <br />f <br />r <br />th <br />i <br />li <br />i <br />f th <br />f <br />U <br />it <br />d t~ <br />~~ ~ O O S <br />, <br />u <br />s <br />r <br />pa <br />ere <br />en <br />n <br />avor o <br />n <br />o <br />ere <br />s a <br />e <br />e <br />e. d,t <br />States on aft property and rights to property belonging to this taxpayer for the <br />amount of these taxes, and additional penalties, interest, and r_osts that may <br />accrue. .. <br />Nasns of Taxpayer <br />Stanley; Sinsel, , <br />Sinsel°Erection <br />Residence 1211 West 4th Street <br />Grand Islandr Nebraska 58801 <br /> Unpaid' Balance <br />Kind of Tax ' Tax Period Ended F)ste of Assessment Identifying Number of A~essmant <br />(a) C6J (W (tll Ce) <br />941 - al <br />i slog 12-11:-81 <br />~ >~ 47-o59oz34 2229.go <br />f <br />riace or r•ntn9 Register of Deeds <br />County of Hall Tot$i S 2229.80 <br />Grand Islands Nebraska 68801 <br />! Thisnoi'rce was prepared and signed at_ Grand Island! Nebraska ~__, on this, <br />the 11th ~yofFebruarsr ,19 82 <br />I,y1e D. <br />Revenue Officer <br /> <br />(NOttl/:: GBftitPCa1@ of oniCO/ sulho/iz@tl Sy Saw 1o Sak@ acknow(@tl9m@n15 is not assont(d( t0 N@ vaf/tltiy of NOf(C@ of <br />Fed@ral iaa Lion G.C.M. 2841 A, 195Q~f, C.B. ,25.) <br />Part 1 - To be kepi by recording oHiW-'i Form 868 (Rev. 9-78) <br /> <br /> <br />