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r <br />Fwn CL°~ DepartmartY of rise Treasury- internal Revenue Service <br />@ey.g~ernbe„97$; Notice of federal Tax Lien Under Interne! Revenue Laws <br />E?istrici Serial Number Pw oarronaf Use by aecoromp rn/roe <br />47 35664 <br />As provided by sections 5321, 6322, and 5323 of the internal Revenue Code, E <br />notice is given that- taxes {including interest and penalties) have been assessed ~ <br />against the foAowing-named taxpayer. Demand for payment of this Habil'sty has ~ <br />been made, but it remains unpaid: Therefore, there is a lien in favor of the United ~ 79-»)5521 <br />States on ail property and tights to properly belonging to this taxpayer for the Vva7C7~Ge <br />amount of these taxes, and additional penalties, interest, and costs that may i <br />accrue. <br />Name of Taxpayer <br />Robert J. Shewanick i <br />Residence <br />301.1 Roselawn Drive <br />Grand Islands Nebraska b8801 <br />Kind at Tax Tax Weriod Ended Date of Assessment ~ I ' Unr~ <br />ra) rb~ cw E dsnUtyi~ Number ~ of rAnsmsnssnt <br />io4o -- 30 7712 (OS-z2-78 ~ I[~SF 305-z8-b665 x,365.60 <br />-_ <br />ace o mg <br />Register of Deeds <br />Ha]:1 County Tapld ~ ~ Ar 365.60 <br />Grand Islat~r Nebraska 666Q1 <br />This notice was prepared and signed at Grand Island. Nebraska _~_._._- __ ___.__.__.._,.._ ._,___., __... -.,, , an this, <br />the tat day of _ Av~ust g 7$ , <br />Signature'..~5~ /'I~*.e'e ~ Title_ _,_.,~...._-.,.. ~~~ <br />R~i'9`'G. McWilliamsr Jr Revenue Offlcar <br />(M!t!: CertltlCate Ot Oflber autttoNZed by few t0 tak- 80knewFldpttl@ntp It irot aiFMfnll W Fae vaflptty W NatWi @t_~_ <br />Pedant Tax Lten O.C.M. 2ff47U, f956t, C.9- 125.) <br />Part 1 ' To be kepd by recording offlae ~ Fwm 668 lRev. 6.76) <br />.J <br /> <br />