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r~Q t <br />Form 'VZiY 1 <br />{ReuSeatsmteert978t~- <br />i ~ t~ - t7g51artmBaE O~Phe Treasury-tnfeenal RevenUO Service <br />Notice of ~ederai Tax Lien Under lnternai Revenue Laws <br />i Serial'NUmt~f For OptiMnal Usa by keeoreling Otifce <br />Omaha . ~7, .. ~ 4 f]? 6 ~ <br />AS provided by seciiors 6321. 6322, and 8323 of the Internal Revenue Code, <br />notice is-given that taxed (inctuding:,inteCest and penalties) have been assessed <br />against the: folldwling=itarrled taxpaye'r`. Demand for payment of this liability has <br />been medal, but it remains unpaid. Therefore, there is a lien in favor of the United <br />States on alI property and rights to property belonging to this taxpayer for the <br />amount of these taxes, and additiorlai-..Penalties, interest, and costs that may <br />accrue. <br />Name of Taxpayer 1Kch3els Floral and Gifts A Partnership; <br />P)lichael Clarks A Partner; <br />f!Sarna Clark A Partner <br />Residence 115 West Third <br />Grand Island! Nebraska b8801 <br />~~~. esUO'7~ <br />Unpaid BalancE <br />lit {-$S055trtElflt <br />r®t <br />Kind of Tax Tax Period Ended ~ Date of pssessmen5 ldentifying)Number <br />ral [D) PW <br />941 -.Ol 8109 ~I 12-21-52 ~ BMF' 47--0579886 <br />of Fi€ing Register of Deeds <br />County o£ Hall <br />Grand Islands Nebraska 68801 <br />1'371.66 <br />Ta¢a9 j $ 1,371.66 <br />Grand Island, Nebraska _, on this, <br />This notice vas prepared and signed at <br />the ?Ctth day of February ,t g ~. <br />Signature ~ Title ---- <br />~, <br />Lyle D. Metzg '~ ':,Revenue Officer <br />[NOW: CBKe1lcd+a 01 of/+CBr 8ulho: iSatl by feW t0 take BCkIIOWlaQglna~PS ,s no! auBnhai :O 3h9 Vdtitfify DP NgPle® OP <br />Federat 7ak Lien G.C.M. 24419, 19541, C-B. ?25.) <br />Part i - To be kept by recording office corm 66$ {Rev. 9-7&) <br />I <br />____! <br /> <br />