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Form ~~,~ ~ ~ ~: botvartmonk rif Sbe Trnaaury -Internal rte+enun $ervis~e <br />(R~,J ~a~I$mber,97I{r~ '' ~ Na~~ce ~f ~~d~ra~ 1"a~ Lien ~r~~der ~~rdter~al i~eer~[~e Lau <br />a~fAHA 47 <br />For Optional Uae by Roccroio <br />79 ~~~~ <br />As provided by sectibns.6321, 6322, and 6323 of-the internal Revenue Code, <br />notirz is given that taxes {including interest- and penalties) have been assessed ,' <br />against the following-named taxpayer. Demand for payment of this liability has <br />been matle, buf it remains unpaid. Therefore. there is a lien in favor of the United <br />States on all property and rights to property belonging to this taxpayer for the I <br />amount of these taxes, and additional penalties, interest, and costs that may <br />accrue. <br />Name of Taxpayer ----y <br />Daryl Armen Fisher <br />Fisher Construction <br />Residence ~~ <br />209`East 10th <br />Wood River. Nehraslcx bSt3$~ <br />Office <br /> <br />Kind of Taz <br />(a) <br />Tax PeNod Ended <br />(b) <br />Date of Assesstt-ent <br />(c) i Unpaid Balance <br />i IdeMffyiny Number ~ of Rs:;ossmettt <br />(d) ~ (al <br />940 - l0 781z 05-14-79 ~' 47-ObOb511 559.7b <br />941 - O1 7809 05-07-79 &'IF 47-a6ob5~. z,3bz.o4 <br />941 - O1 7812 05--0?-79 ~' 47-0606511 ~ 1, 9]1+.47 <br />941 - 01 <br /> <br />4 <br /> <br /> <br />1 <br />i <br />{ <br />f 7903 <br /> <br /> <br />i 08-13-79 <br /> <br /> <br />~ <br /> <br /> <br /> <br />i ~' 47--0606511 711.96 <br />I <br /> <br />i <br /> <br />3 <br />piece of F"tltng i <br />Regist€r of Deans <br />I~a~ Gou>xiiy Tatar ~ ; 5, 548. z3 <br />Grar_c3 Island, Nebraska b8801 <br />i~tta fts#ies was PrePSretf grid Si9nad at G2=and I~riand,_ Alebr~:---____~... _ _.__._______, ,.----_T , tin tfikis, - <br />the nth day of ~t.@aibsT , t 971 <br />lliotiael Ponte i Revenue Officer <br />(Note; Certllkate o! oftker euthwlasd by !aw to cake ecknowledgmartn 7a not asaential to the vaNdtty o! Notice of <br />Federal fax ttan G.O. W. 2&1/®, tSbD~t, C. a. t25.) <br />Part i - 70 be kept by recording office Form a6$ (Rev. 9.79) <br /> <br /> <br />