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I <br />Form V Vv Department of the Treasury -Internal Revenue Service <br />(Rev. September 7978) Notice of Federal Tax Lien Under Internal Revenue Laws <br />District Serial Number For Optional Use Dy Record/ng C/J/ce <br />maha z <br />z <br />;¢ pprovii9ed by sjecifons 6321, 6322, and 6323 of the Internal Revenue Code, <br />~ <br />tice ip givvggn -that taxes (including interest and penalties) have been <br />n <br />asise's§ed aigi3intt the following-named taxpayer. Demand for payment of <br />this.liab'rNty) lifts been made, but it remains unpaid. Therefore, there is a lion <br />;in'favor of tbeUnited States on all property and rights to property belonging <br />to this t payer for the amount of these taxes, and additional penalties, <br />interest, ~ntf costs that may accrue. <br />Name of Taxpayer <br />James R, Hall <br />Residence 161$ North Kiunball <br />Grand Island, NEBRASKA 6$$01 <br /> Unpaid Balance <br />Ktnd of Tax- Tax Period Ended Date of Assessment Identifying Numhar of Assessment <br />(al (bl (c1 fd1 fe1 <br />lo4o-3a 7$12 ~.o-z7-$2 Its 50$-52-0070 4,690.49 <br />10L+.0-30 7912 10-27-$2 I.'iF 50$-52-070 2,$$1.97 <br />ao4Q-30 $012 to-z7-$z L;F 5o$-SZ-OC7o 1,742.25 <br />Place ofF(ling Register of Deeds <br />County of Hall Total 59,314.71 <br />Grand Island, NEBRASKA o$101 <br />This notice was prepared and signed at Wand Island, Nebraska ,on this, <br />the 26th day of Novemberiy $2 <br />(NOtK Certi7iCet® of oNlcer eurhorizetl oy taw to take acxnowtedgmentS is nor essential to the validity of Norice or <br />etleral lax Lien G.C.M. 26419, 1950-7, C.B. r25.) <br />Pari 1 - To be kept try recording office <br /> <br />Form 688 (Rev.9-78) <br /> <br /> <br />