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i~ <br />.__ <br /> <br />ForM1'4 ~~~~ ~ Duparttnont oT ttho Treasury ~:d ntarnal Revenuer Sorvico ~ ' <br />Notice ofi Federal Tax Lien Under Interne! Revenue Laws -- <br />' <br />(ROV. SeDtorntrer <br />f 978) <br />District Serial Number rur o~ ~ „ u~n r r3 ~~.~ ~ atr:~c <br />_ _ <br />t~]AHA - 47 35620 i <br />r4s provided by sections 6321, 6322, and 8323 of the Internal Revenue ^ode, ~ ~~ <br />notice is given that i<3xes ~inGuding interest and penalties} have been assessed ' <br />against the following-named taxpayer. Demand for payment of ;his liability has <br />been made, bui it remains unpaid. Therefore, there is a lien in favor of the United ; <br />States on aH aroperty and rights to property belonging to this taxpayer for the <br />amount of these taxes, and additiorat penalties, interest, and costs that may <br />accnje: ~ <br />Name of Taxpay+3r ' <br />Andean A. and Nancy Lee Lamb <br />Residence <br />4324 Lariat Lane <br />Grand Island: Nebraska 68801 <br />~- <br />- <br /> ~ Unpaid t3sta>sce' <br />Kind of Tax j Tax Period Ended ~ fists ~ Assessment CdBntHying Number of Assessment <br />raj I ml ~ raj rw ~ rsj <br />7612 <br />1040 -.30 ~ 02-05 ~9 ( ~' 505-4tr-321.9 i ~1,Oiu's.~r~s <br />~ <br />1%0 30 781.2 <br /> <br />I ! 05--~-74 ~' 505-44 321.9 <br />i ~ 625.11+ <br /> <br />i <br />r <br />~~ <br />~~ $ <br />x t~ <br />Grtt Is3,:ad, Nebraska 68801 <br />'t'his nonce was prepared and signed at .._ Grand Islands_Nx~braaka <br />_.....__. _... on is, <br />the~.tr_._. day of AttRUat ,t9'jQ~_ <br />Signature y~,~. ,~`~ it{e <br />~v~ c~Pf i~3.13.~.atnaf Jr, f_--__ f~"~ Reavenue OfFlcer ~--__---__.__.______~._W.._ _ _ <br />- fNwu: Cent+#7eate tlt oitrewr iutnwtzi9 by raw fo tFk9 ac NnowtBepa~as,ts u nw aaaanttaF tO the yirN#fty ut AiWfdi e7 <br />f'vzi'Tii 7iii L:ir~ G.C..#. F6:i9, i¢.3S7. C.S. i~s.j <br />,Part 1 - 7o tje kept by reool'dN-9 o/fiC„ e~ Form 66$ tReu. B-7a1 # <br />~ - .-_ _,-,°- t <br />.,.... <br />T ~ ~ 1t69~.92 <br />- - <br />.~.. <br />