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1 -_ <br />Form ~$°~ Dapar[men4 of the TrBaaunJ- 7nternai P.gvenue Servict+ <br />(FG6u SEPtBmber59781~ i~~ti~e Of i~~der.~i .Tax l.ian Under Ir~t~rnai Re~e~te~e Laws <br />t3istrict Serial Number r:or onvanar u:! er Reckrdmg on~k! <br />CIMIAHA 47 3 53 89 <br />As provided by sections 8321; 8922, 'and-6323 of the internal Revenue Code, <br />notice is given that taxes (including 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: Therefore,-there is a lien in favor of the united <br />Sta#es on all property and rights to property belonging to this twcpayer for the <br />amount of these taxes, and additional penalties, interest, and costs that may <br />accrue. <br />Name of Taxpayer <br />Ronald and Janice McMullen <br />Residence <br />320 West Louise <br />Grand Islands Nebraska 63801 <br /> <br />(Nq~ Cvfpiaatr kt pffiE;kt a4f!}£Miald kr laW fk qig rucknohrrp(gmleVS u not awirrrhl f4 tAa raudkr Ql t1ltfk! at <br />F!Q!+!1 Tu 61an (i.G. M. ?tl4tY, tP3a r, G.B. t?6.) <br />Psrt 1 -• Ta bA ke{tt by t1lCwflMlq oltba i~urm 64A {ROV. 4~7e1 <br />t~ <br /> <br />Kind of Tex <br />rat Tex Pertod Ended <br />ret Date of Astern <br />rat ~ Identifyirtp Number I <br />roe i t!t <br />101+0 - 30 7812 <br />1 ! 05-~-74 L~ 507-33~711- 5257.Oz <br />1 <br /> <br /> <br />! <br />i <br />I <br />1 <br />~ i <br /> <br /> <br />~ <br />1 - <br /> <br /> <br />~ <br /> <br />i <br />