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f <br />Form @C~ DepaRmerst of the Treasury - lniernal Fevenue Service <br />,Rev. septemt~er ,&'~81 - ~fotieeof Federa# TaxLien Under-.Int@rnai Revenge Laws.. <br />D(StNCP Sena! NURIt1Br Fw gpdinnaCUsetry Ne:wCirtp Olfice <br />~xt~a 47 ~ 41188 <br />_'< As prflvided by sections 6321, 6322, and 6323 of the Internal R$v'enue Gode, <br />notice a given that taxes (including interest and penalties) have been ~' ~2~:. ~ ~ `~ 9 ~ 4 <br />assessed against the fo(towing-Hamad taxpayer. Oer•,tand for payment of <br />;hls tiabi~ity has (seen mach, Dut it ramains unpaid. Therefore, there 15 amen <br />In t9vor of the Untied States on all property and rights to property bslongirtg <br />to this tixpiayer for the amount of these taxes, artd addttldnat penalties. <br />Interest, .and Fosis that may accrue.. <br />Name of Taxpayer <br />rkarCir w; and B. Rod~sslle RCbinsa~, <br />Residence <br />5ryc 192 Pine Stre`t <br />?1c}a, Nebras;ca F8810 <br />~ Unpald Balance <br />Kind of Ta: ~ Tnx P~rfod Er1~! paa of Assnssm~nt ~ Idnntityiny Number o} Assnum~M <br />Fe) tGi ~ itil id; ~ !e) <br />1440 - 30 12/31/8Cr ~ Q5!25/ul ~i37-t~-i013 i?'F 515.87 <br />1G 90 - 30 12:31181;.... 05/24f82 S0?-E~3-1U13 ii~~' ~ 1,997.48 <br />I <br />?lace <br />~ 1 <br />! <br />i <br />t ~~ <br />i <br />Register of Seeds <br />stall ~~tY Total ~ S <br />-~arxi Lsl~nci, di~iras;ta 68b01 <br />- ~ <br />,13.35 <br />I <br />This nQtica was prepared and sij~ned at_ Cc~tat~a, 'v'elvr~k~ ~_ _.nn this. <br />tne__t~day or.~,il~ -t9 _ .~~ <br />Sipruture ~ ~~ ~ Tlue <br />gala alt ~ ~:~~~, i~>£ax ~~a, <br />(MOM; rwrrr;xara w anker arr(hOrRSC 5y /aw fo rake ack.o ~-.7v en., i, ^.r ss6arl?at. ro ;fie vaYie+rr of Nor~.~o at <br />Falate! ray l~ G.C.K. ZdJI`r t99?f, C.6_ d25.} <br />Psrt t - To b~ klpt by r~aordiwvy,offie~ Form'888 (Rav.9.78, <br />~' <br />1,.~__ <br /> <br />