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Form S68 ~ Cepartment of tho Treasury - internal Re vc nue .Service <br />fnov. SoptemheriB7a;~ Notice of Federal fax Lien Under fn~ernal Re~enne Laws <br />-------1------ --- - ----- --- - __- -- ____ - <br />District ~ Serial Number er optional u e by RecorG n9 orro~ <br />CAIAHA 47 ~ 35635 ~ <br />_--------- ~ _~._ --S - <br />As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, Entered on numerical <br />notice is given that taxes (including interest and penalties) have been assessed ~ <br />x and recorded on <br />against fhe fcllovring-named taxpayer. Demand for payment of ;his liability has ~ ~n <br />been made, but it remains unpaid. Therefore, there iS a lien in favor of the United 19~L-Z- <br />States on all property and rights to property belonging to this taxpayer for the <br />amount of these ±axes, and additional penalties, interest, and costs that may ~ a / ' ~~~ as 'n>tr:~~,ent <br />6 accrue. No. ~ CK~~i'~~ ; <br />Nam. of Taxpayer i~--- <br />Wendell Bottorf } "~=~°~ ~ <br />Jeer. Fis!'er <br />Residence <br />2724 Weat North Font <br />_ Grand Island_Le_br_aska 68801 <br />Kind of Tax i Tax Period Ended ! Data of Assessment <br />(e) rb) (c) <br />941 - of 1 7806 0~4-02-79 <br />~:.1 = 41 I 7rxto 04..02?9 <br />940 - lG ! 7812 j 04-9 79 <br />Place of Filing <br />pe~.ster of Deeds <br />Xsll County <br />(irsnd Tslsnd. Na6rask~ ~iSB(?1 <br />Rel;ister of Deed; <br />Hall County, Nebraska <br />Identifying Number ~ of Asaessmenl <br />m) ; te) <br />~' 47--0597103 i S1, 800.22 <br />i3~iF b7-0597103 171..t?Et. <br />~F 47-a597i03 i7s.a."c <br />T~3 r ~ 2+~?.78 <br />This. notice was prepared and signed at _._ Grand Island, Kebraaka <br />the__~ld dayot _August ,yg'j~ . <br />Signature _ ~ ,._. ~~~_~s' ~ ,. ,,.~ f 1-Title <br />on this, <br />Revenue Officer <br /> <br />tNOtq: CbrbRC.attn o! ulhcYr eufhUriz+d by law to take actinuwiedOmenl2 ~a nar yssonbnl ro Mb vUirAly o/ Notic• at <br />F+patll 7nx Aron O.CM 2E4t9, fYS47, C-B. r25.) <br />Part i - To tw ksPt by raaording ofNCa Fwm G6R fRev. ti-7SI <br /> <br /> <br /> <br />