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___ Form. ~ss ..._ Department otthe Treasury -.internal RevenueService r (navsaotetvae~;s7s,l ~~ RNotice of Federal Tax Lien Under. Internet Revenue Laws Disfrleti Sepal Number ~ For optional use-by RacorCingornce OMAHA 47 41715: I y~ As provideo by sections 6321, 6322, and 6323 of the Internal Revenue Code, ~ "~ ~" `' i ~ ~ t'~ notice is given thaf taxes (including interest and Penalties) have been assessed against the~folfowing-named taxpayer: Demand for payment. of this liability has been made; bui` it retrains Unpaid: Therefore, there is a lien ih favor of the Jnited States on ail property and rights to property belonging to this taxpayer for the amount of these taxes, and additional penalties, interest, and costs hat may accrue. I Name of Taxpayer 0arol J. Price Golden Horseshoe Bar. I Residence. 402 S. High St. i 0airor Nehraska 66824 ( Kind of Tax i ta7 ~ 7ax Period Ended (b) Date of"Assessment fcl ~ ldentitying Number ~ <G1 llnpald Balance Of Assessment ie) --- 941/01. ~ ?903 02-04>-~0 ~ Br~~ 47-0601716 z5o.73 941/01 8006 03-23-81 t BMF t~7-0671716 303.14 941/01 8009 o3-z3-61 BME 47-0601716 343•"4 ?41/01 .8012 03-23-81 BIB 47-Qbo1716 257.45 941/01 8103 03-29-82 BMA' 4?-0601716 387.73 941/01 8106 03-29-62 BMF 1+7-0601716 300.99:. 941/al s1o9 , 03-29-82 BME 47-0601716 z9z.38 94101 1 6112 r 03-29-62 BMF 47-0601716 252.1] 9/10 ~ 8012 j 03-23-~ BI`¢' 47-0601716 162.67 i i i ~ ' ; i I Peace of Filia)g .Register of Deeds County of < Hall Total i 2, 571.40 Grand Island, Nebraska 68801 I c~and Islandr ~BR,AS]iA This notice was'prepared and sigrwd at , ©n this, the 2'9th day of September 19 62 Signatur ------ __. S rifle chael Porte l Revetaue officer {Nob:. Cen+trcate ctoFlicer aurhonzea by faw.to toka acknowf9dgments +s nor assantiafro the vetfdl!y of Notrceot Feaerat lax Lran 6.C:M. 26379, 1950-1, C B: 725) Part t - To ba kept by recording office Form 668 (Rev. n-78? u