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<br />Form ~68 <br />(Rev. September <br />Department of the Treasury ~ Internal Revenue Service - <br />Notice of Federal Tax Lien Under Internal Revenue Laws ~ <br />Dietrict 220 <br />Serial Number For Optional Use by Record/ng OHlce <br /> 4 <br />1 82- UoSq~ <br />~a <br /> <br />provided by sections 5321, 6322, and-5323 of the Internal Fevenue Cade, <br />given that taxes (including interest and penalties) have been <br />t ce: is <br />, <br />assessed. against the foltowing•named taxpayer. Demand for payment of <br />thlsfiabfiify has been made, but it remains unpaid. Therefore, there is a lien <br />in favorQfthe United States on all property arSd rights to property belonging <br />to. this taxpayer for the amount of these taxes, and additional penalties, , <br />#n#erest, and costs that may accrue: <br />Name of Taxpayer <br />Brenda Hall <br />Residence <br />161$ North i{imball <br />Grand Island, Nebraska b$101 <br /> Unpaid Balance <br />Kind of Tax Tax Period Ended Date of Assessment Identifying Number o} Assessment <br />(e) (D) (c) (d) (e) <br />1040-30 ?$lz to-z$-$z Ii+~IE' 505-6a-4$54 $53.$5 <br />104o-30 791z to-z$-$z Ire 5o5-bo-4$54 3b4.17 <br />1040-30 $oiz 10-2$-$2 lr~ 5o5-bo-4$54 <br />I 352.47 <br />Place of Ftiing Register of Deeds <br />County of Hall Total s 1, 570.49 <br />Grand Island, Nebraska b$$Ol <br />This rrotice was prepared and signed at Grand Island, Nebraska ,on this, <br />the zbth day otNovember i9 $2 <br />A ~ ~ <br />Michael Ponta ~ Revenue Officer <br />~41u1X CeRificate of officer authorized by taw to rake acknowledgments is not essential to f/ra validity o7 Notice o7 <br />ederaf Tax Lien G.C.J/. 26473, x950-7, C.e. 725.) - <br />Part 1 - To be kept by recording office Form 668 (Rev. 9-78) <br /> <br />~_ <br />