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<br />Fvrm ~~$ Departmant of the Treasury -Internal Revenue Svrvicv <br />(Rev. September 1978) Netice of Federal Tax Lien finder fnte~nal Revenue Lames <br />District ~ ^,sereF~'Mumber r-or Optaorta( Use by Racording Ottica <br />~ i <br />CMAI'IA ~ ~~~~~ ~ ~G3929 <br /> 7g.~ <br />Fis provided by sections 6321, 8322, and 6323 of the internal Revenue Cade, <br />notgce is given that taxes tincluding interest and penalties) have been assessed <br />against the following-named taxpayer. Demand for payment of this liability has <br />been made, but it remains unpaid. Therefare, there is a lien in favor of the United <br />States on all property and rights to property beto+tg'sng to this taxpayer for the <br />amount of these taxes, and additional penalties, interest, and costs that may <br />at.:rue. <br />Name of Taxpayer <br />Steve C. Fernau <br />ttesidence <br />331 North Lincolnr Apartment 2A <br />Grand Island Nebraska 68s3O1 <br /> Unpaid t3ala~e <br />Kind of Tax Taf Period Ended -taste of AssassmeM Identifying Number of Assessment <br />'W - (b) te) - fd) fe1 <br />10!}0 12 31. 78 6.-04-79 518-56-7739 ~3, 615.08 <br /> <br />Place of Filing <br />&:gister oY Deeds <br />Gozuity of H~11 Total ; 3, b15.O8 <br />Grand Islandr Nebraska 68'801 <br />This notice was prepared and signed at Graffii Island~NHbrat3ka . on this, <br />theme day of June ,19 79 <br />Sig Title <br />ichael rfmte Revenue Officer <br />{note: CertaioMe of other autlrarL:ed M few to fake acknow7edpmenta ,s nIN easantia( to Yne vafidity o/ Notko ±~P <br />- Federal Ta: Lien G-C. V: 28979, 1950-i, C.H. t25-) <br />Part 1 - To he iutpt by rectxding office Form 868 (Rev. S7a) <br />~_ .. L .J <br /> <br />