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<br />Fcrm 668 _k DeoaitmenYOf-ttieSreasury-Internal Revenue Service. <br />gdv s~olem~ar,ST3,1 Notice of Federal Tax Lien Under Internal Revenue Laws <br />District ~ Serial Number For oiruonat use y Record,ng orrice <br />a~n8 a7 41716 <br />As prcvided by sections 6321, 6322, and 6323 of the Internal Revenue `Cede, <br />notice is given that fazes (including interest and penalties3 have been assessed p+~ ~~ ~' ,1 <br />.against the follcwing-named taxpayer. Demand for payment of tttis Hability has OG ;, t `x <br />beer. made,. trot It remains unpaid. Therefore, there isa lien in favor of the United <br />States on alt ,property and nghts.to proprrty belonging to this taxpayer for the <br />amoun? of these taxes, 'and additional penalties, interest, and costs' that may <br />accrue. <br />Name of Taxaayer <br />Carl ~. and Ethel B. Rezabek <br />residence x16 South ~.ddy Street <br />wand Island, Nebraska 6$$Gl ~ <br />Unpaid Balance <br />Kind of Tax Tax Period Ended Date of Assessment ~ Identlfyirtg Number j of Assessment <br />ral <br />_ rep (c) ray ~ re/ <br />io4.a-3o $ozz o9-z2-~z z?~~ 5o~-S4-6b63 ~ $,oi7e~~? <br />~" <br />~ j <br />~ I <br />dace of Frlmg Register of Deeds <br />County of Nall Total ; S 8, 517e87 <br />C~'and island, Nebraska 6$801 <br />This notice was prepared anal signed at _CI'and Island. Nebraska _____ _____ , on this, <br />the 28th day of5z tsmbexyg $2 <br />~ - <br />Signature ~ ~ Title <br />Michael Ponte 8evenao nff;cpr <br />(HOt~: Cert~t~cere or ortwar autnar¢ed 4~~ raw .c lake acknowfetlyrnents rs:. rot essential ro the validity of Noricv nt <br />Fed.r.l Tax Len G C M. 28419, 1.9507-1. C: B. 125.) <br />Part T'- To be $ept br recording office Form SSE (Rev. 3787' <br />L- <br />