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i <br />~~ oeo®rttnaan of the rroeaury - mremai Faevenue Serv;ce ~ - <br />~ ,,,,~„$~ ,. ; No#i~ of Federal Tax Lien t)nder Internal ~e~enue Laws <br />f~i9t7k)t - SenatfVUmber For OntrdrH-l7se M HewaMirq axrce - <br /> <br />avsn <br />p!a provided by sections 832i; 6322, and 8323 of the Intemat Revenue -Cale. ~ <br />nati~;.e if:` given that taxes - finduding interest and penalties) have been assessed <br />a{)afnst-:the fdipNdng-named taxpayer. t3emand, far payment of this IiaCNity has <br />been maids, but H remains unpaid. Therefore, there is a lien in favor of the Unlted <br />States ~ aU propefty,. and..rights to propeAy belonging to this taxpayer for the <br />amrwtrt of these- taxiis: and addttianal penalties, Interest. and costs thaf may <br />a~i18, ~~.~} r r.} ~ x <br />V ll Y. <br />Name of Taxpayer <br />3hom8s `a~w 5t Diaue i~.~ar3ey <br />Reaidenca <br />1o3Q E. Phoenix <br /> <br />KNtd aE T~ ~ <br />'tax Period Ended 1 <br />>~te of Ass~aeant- ~ <br />tdardittting Pfumfter Unpakl <br />of <br />~ me cra rai rwf <br />1Qk4/'sQ ~ X922 12-1S~i7 - I~~~' 5~5-i$-~~3~Sb ( 76.91 <br /> v4-ob-$i i # 59.39 <br />l~~ol3fl _ ~Q12 <br />~ U7-~.~-$$2 ~ <br />~ ii$F 5C5-7~-9966 ~ <br />~ $$x.72 <br />Chace otFffu+g ~ <br />8e~ster' o.~ ~eecis~ TcaM ~ = 1, ~~..63 <br />County of Hall , <br />tirsnd isialiri, ilebraska 6fs$Q2 <br />notice vta9 pfepared and signed at . ~__Sr Iael;~ttd ~tebs`aska _ . on Mis. <br />- a t A._ - __._.-- --~ <br />1 <br />'D1tC++al3! YeYIlC~,9 ,j {ti~Ytinue v{,ttceu- -- <br />-lateMa ti(trMCM~ W a+aie~r wiwot+zw M ;aw as eww~ wc7wo.+wOp<navda ;a not asutrhr "O tit. wpiNtr of lioFke ar <br />r~.w.u ru u«a acw. asria tcwr. c.a. rrs.! <br />Part i - Ta be kept t+ti rsoerdinp office +:oam CtQB CRev. 9,?8} <br />.~ <br />L._.. <br />_....i <br /> <br />