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<br />Farm 6C~ _ n} Q ~j Q DeDartmem of Che Treasury - intarnril Revenuo Sarvlce <br />(Rev, Septambart97a) ~ySI~6.O1 ~~ideral Tax Lien Uo~der ir~tern~ai Revenue Laws <br />) _ __ <br />t3isfriet ~ $ertal Ptumber 1 Fer Gatiana! IJSe trv RaearGing Ot!tce <br />CkSAHA 35225 79~ t~~y r~ grt~ <br />As :provided by sections 6321, 6x22, and 6323 of the lnternai Revenue Code, <br />notice is given that taxes {including interest and penaltiesi have been assessed <br />against the following-named taxpayer. Demand for payment of this liability has <br />been made, but it remains unpaid. Therefore, there is a lien in favor of the United <br />States on aff property and rights to property belonging to this taxpayer for the <br />;. mount of these taxes, and additional penait3es, interest, and costs that may <br />accrue <br />Name of Tw:~or _ _ - l <br />Robert P. I.arkowski <br />Bob's Kustom-Silt-Homes <br />dance <br />922 West Louise <br />Grand Island, Nebraska b88o1 <br />-Kind of Tax <br />- fN Tax Pa!iod Ended <br />.- f6J Date ~ Assessment <br />(c) faentifying Number <br />fdJ of <br />fs) <br />9=~7. <br />- 12 31 77 05-~1-78 47-x576050 673.69 <br />941 03 31-78 10-23-78 47-X576050 201.60 <br />9L,~7 t~~ 7R f]K1YJ 7~ t.7s~71;n rn , ,n1 (]~ <br />941. 12 3178 05-07 79 47-0576050 532.92 <br />940 12 31 78 04-16 79 47-X576050 328.46 <br />nacre w ntmg <br />Register of Deeds <br />Caattity of Halt Total S 3, ]1,1.60 <br />Grand Island? Nebraska 68801 <br />-'this rx~Ce wag pm&pered and signed at (z~tmti Island Nebraska , on this, <br />ttts_],3teh_ day oft Jame ,t3 79 <br />Zt71e D. Iaietzger ~ ~ ~ Revenue Officer <br />_ r)')ntC Cert$ftara of officer auf6orha0 Dy Wr ro ra.:a ecJmowtedgments !8 not essential fa the vnlid/ty Di Notka of <br />Fbd~,lar Ta: Lien O.G.M. c8479, }9547, C.9. 72S) <br />Part t - To be kept by recording office Form 668 iRev. 8711) <br /> <br /> <br />J <br /> <br />