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<br /> <br />I Department at tna Treasury - Fntemat Revenue Service <br />Form ~~ ~ <br />i,e.. ;Rp,em,~,9,i3,~ Notice. of Feder~i Tax i.ien Under Internal Revenue Laws <br />lJl5trf~t ~ {~ t! ~ ty er -_----_~~ Serlal Number fpr OANOnaI'USe byRac(xd~rg Otf~cn <br />~ ~~1210 <br />6raaha 47 <br />- <br />~ <br /> <br />As provided by sections 6321, 6322, and 6323 of the dntemal Revenue Code, ~~ --- vv <br />t1 ~l t~ V Ci A <br />notice is given that taxes iincludirg interest and penalties} have been'"assessed <br />against the tailewing-named taxpayer. Demand for payment of tfiis diat)iliiy has <br />been made, buT it remains unpaid. Therefore, rhere.is a lien in #avar of the United t <br />States on alf prepeRy and right= to property belonging to this 'taxpayer Sor the <br />amount of: these taxes. and addltionai penaitles, interest, and. costs that may. <br />accrue <br />-- ~ <br />_ _ <br />Name of Taxpayer <br />Galen Hoffman <br />Hoffman Equipment <br />-- <br />!?esidence <br />j <br />Rt i Sox ll9C I <br />i <br />Grand Island, Nebraska h8$01 <br />- _ i Unpaid l3elanCe <br />K(nd of Ts: Tex Perwd Ended ~ Date of Assessment ~ dttontNyirty Number ' <br />i of Assessment <br />i <br />~ <br />- <br />-- <br />~ ®1 <br />_ _. - - <br />- <br />t <br />9r 1 - Ol ~ Sit~3 ~ 06-28-82 BMF 47-Ij57~9912 ~ 2, 240..°.8 <br />07-n~_82 21.33 <br />nrn m ~ saner ~ ~ ,_ ~'1_.v'o RAIF b7_(157gQ1 ^ ! i18-70 <br />of Filing &egister of Deeds <br />County of Aall <br />Grand lsland, 1`:zbraska !i8801 <br />This notice was prapased and signed as __ -Grand I~~~t¢~_~braska _-_ _ <br />i <br />i <br />Todai i i 2~979,G1 <br />--__- _, on i'tis, <br />the- 23rd da.~,or ,luly--- •''g 82 ----- <br />--- <br />Signature - Tit e <br />Lvle ~, iietz er /~ ~l. f.~ ~~~~. ~ f-,~~ <br />(Motes Cortt.~ete Jrt. ~- iaka e. kn o:.!vd-7 ^'an. .~ ~ f _~,.o ..a ~ rho ++litl'y of /. Lt~CO or <br />Frtlersi ras Lre:~ i;~fC_M. Ztw 19. '9~"r! `-~~"Yt-'~i <br />Part l -- To be kept bV recording otf ea Form SSS :R~~. <3-7&~ <br />__ <br />1.~. <br />~~ <br />C <br />4 <br />4....._. <br />