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Form :CC{) I pp~~ ,t C~eaartm+~n*,of'he7:o_;~:Y-Intsrna3 RsYCr:ua ServiEcet~ <br />iRs.. :..p.A~Qc~r isra;t f'~Q#~Fi.'#, ili ~~it~i'~t I~Ya ~~LB- ~16~~r~' ~~9~~e'~~~~f f3~'i/P,Iltlfr ~t'iWS _ <br />C3istrict _. --- j Seri31 Numi~r --.._- q' ont;anat use oy axcr-~~ orn~e <br />tYRAFfA _ 47 ~ 35666 f _-- J-~- <br />As provided by seciians &321, 6322, and 6323 of the Internai Fevenue Code, <br />notice is given chat taxes (inclu:iino interest end penalties) have been asseased <br />against the fo(iowiny^-Warned taxpayer. remand for payment of this iiabiiity has <br />been made, twt it remains unpaid. Therefore, there is a lien in fvor cf the united w.~' <br />States cn ati properCy and rghts to property belonging io this taxpayer for the ; 7~-[iil~~~~ <br />amount of these taxes, and additional penalties, interest, and costs that may <br />accrue. <br />1 <br />Name of Taxpayer <br />Mary Aswegan <br />Residence <br />Post Office Box lll8 <br />Grand Island Nebraska 68801 <br />Kind of Tax Tax Period Ended ~ Da[e of Assessment <br />- ta) - (b) (c) <br />- 17 ~ 7903 07-02 79 <br />Idantifylrtg fJumtrer ( ~ Assaast <br />rw j c.~ <br />NMF 478-72-2881fN ~ $2~1€'t'},~3 <br />Register of Deeds l <br />Fia},l County Toot ~ ~ 1,67'9.~d3 <br />Grand Islands Nebraska 68801 <br />This notice was prepared and signed at _._,~,, jam. ~6~~~8ka. _. __, _ _ _. ix+ ttr_s. <br />the,.,3jQ#+_. day of _Allgyaty_ ,tg Z4_......._..,.,_ <br />Signature ~~:Lt~~t~ I Tttte __..._..__ __ ___.. _..___,__.~ ._._.._._,~ ......._- ~ <br />ae +3 Itev~iuv Off:ax' <br />_ fNa4w Cirttrtci+o at dtisar eatnw!raa M tae. to ta!+c sea»ar!aaWm,Settt ra nW @sia~lat to ytPi saadRg at MW.Fa ~. <br />Fedant tit Lran n.C. ir. ~blt9, tDSO-f, ~.(!. tY3.} <br />part 7 =- To be kapl by racprdltlg ottice Form $~ (Parr. p~76i <br />t~ <br />