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<br />Form ~~~ -` - b pepariment of the Treasury - Irtterrai Revenue Sernce <br />lRey sapternbe<,~ Notice Of Federal. tax Lien Under Ent®rnal Revenn~ Laws <br />t)i ,trio Serial N:UtTibef For ORtiorrat Use by leooramg orrice <br />4zeha 47 t 4I433 <br />AS provided by secttans 6327.6322; and 6323 of the internal ~3evenurs Code,: 8G~ i1 t,) t3 ~} `~ <br />~ <br />rratlce is given that taxes {Ine#Uding interest. and penalties) have' been. _ <br />assessed against the. fallowing-named' taxpayer: t?etnand #or payment at <br />this liability has bean made. trot it remains unpaid: Therefore, tftere is a Ifen <br />In favor at the United States an all property and ~lghis to property belonging <br />to this taxpayer fore the amount of these taxes, and additlona! penalties; <br />Interest, and casts that may accrue.. <br />Marne of Taxpayer <br />'r'L~dr,dt C_ and 1~3n~1ytzr. ;,. ~tlexs <br />Residence. P.rute 1 Bcx 93 <br />;,Mood:Riv~r, zaska 688€33. <br /> <br />KMid of Tax ' ! <br />Tax ParkMi Ended ~ Osta of Assaerment <br />ldantftylnp NumbM , Unpaid Balance <br />ot.ApMama~H <br />(el 1b)' ~ tct td! fsl <br />1044 - 34 l 12/3il~ i 06102~8C3 ~ 545-36-20.55 I~'~SE' 595.82 <br />i040 - 30 12/31/80 ~ 'a61'O1/t31 ~ 5Q5r36-2455 71++4E' 430.44 <br />1(144 - 34 J.2/31f81 ## 05/'31J82 <br />f <br />S <br />~ ~ <br />{ <br />P~ { } 545-36-21755 I*~' 1,824.39 <br /> <br /> <br />t <br /> ~ <br />4 <br />! <br />} <br /> <br />Place of FNirHg Reg15r r5f Daecis <br />Eiall Gcxcsty Total 3 2,850.65 <br />Grarx3 Isiarx3, :Vebs~ska. 698()1 <br />Ttsls rsatiee was ixepared and s+gn®d ai _ r,,;~L_ <br />the ~ day of t .tg ~~ <br />Signet ,~ .+ Title. <br />l,~t.E.I~iflG'34 722 c`~21~'~. C?,~.~3.t~ $X'+3r3Cti <br />~~1s~~ ~srhripsq er olrrsgv a.rrnmrrae ay. ,a: w rntiw ac+s+ow~eagmenrs ,~ mu. eaaen7iar to the vafr4r:y ,rt Nottcn or <br />Fwkre, Ste titrtGCY..,e^$~FDG{.rf.C:$. f15) <br />Pact i - To by kr~ b!# neewdfrg o/f'p Form 6~ {Aey. 9781 <br />t <br />