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i <br /> <br />~~v 1 ~ r ~O6 p0rtmgnt of the Taea':u ry-In:emal Re:~enge Sgrvkce <br />Form v i I_,,, ~t .,: L ,~ <br />lReW.'~5ept®mDeat97b7' Not~ce~~~ ~~~ Fa'~~e~~~~ Tai L~e~ ~~~de~ Ir~terr~al Re~~e~~~~ Lam <br />prou)ded y secYlons 3e1, fi3 2, and 6323 of the Interne! Revenue Code, <br />notice is given that Yaxes (including interest and penalties) have been assessed <br />against the following-ri{~rged,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 />States on all property and rights to properly belonging to this taxpayer for the <br />amount of these faxes, and addi#ional penalties, interest, and costs that may <br />accrue. <br />Dlstrlct Sersai Number Far avr,onar use Dr Recortlnp on~3 <br />OMAHA 47 35756 i' <br />~ b ~ =. 6 r ~ 7g-~a~9 <br />Name of Taxpayer <br />Larry M. and Margaret A.. ICaspar <br />Residence <br />1011 East Bismark <br />Grand Island. Nebraska 65801 <br /> <br />Kind of Tax <br />- CaV <br />i Tax Period Ended <br />I tD) <br />~ -Date of Assessment <br />; (c) ~ Unpaki L3alance <br />Identifying Number i of Assessment <br />~ (tl) l rs) <br />1o1M0 - 3o <br /> <br /> <br />tj <br />I <br />i <br />~~ j 7512 ! <br /> <br />s <br /> <br />1 <br />l 9-21+-79 4 <br />r <br /> <br />_ ~ <br />1 <br />i~ ~' 507-50-9~+r+ ~ ~~-, 395.27 <br /> <br />~ <br />~ <br />t <br /> <br /> <br />I ~ <br />t [ <br /> <br /> <br />l <br />l <br />f <br />t <br />Place of FLI(ng llI <br />~~sCe~~y Deeds Tit;3 1:395.zt <br />Grand Island, Aebraska 6SS01 <br />Thia natlce was Prepared and signed at Grand Islandt iebraska ort this. <br />the~_ day of Se tember,tg'jQ__ <br />Signature G, i Title ~~ <br />le D. etzg r~ Revenue Officer <br />- - <br />4 tr1C110: Certtlkate of ottlcer euMmizetl Dy lew 70 lake ecknowledpments is not easenlial to fDe re110)ty d Nuke u <br />Foderal Tex Uen O.C.M. YEIIi), tGb4 /, C.B. 12b.) ~' <br />part 1 - Yo be kept by recording office . Fwm S68 tRev. 9-T8) <br /> <br /> <br /> <br />