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Fot.n ~.i7 ~ ',~ t:9~pad;itT:H:I~.:; col! Blm>^~' 'nmm•a:a;rry - 4~Tat5NSxa~,y:f ~a^~u~rcrmrcuaa ~uM~nr~c~w.^^.Y..._. :~wew_sena~.~mber,9TS1~ `~ ~ ~ ~ ~ ~I~6i ~~~~~~~" I~'i'~~~'~'il'~~1 ~~~RP~'~lli~ .,~~ District ~ Serial Number Far Cpiipne t Use vy Recording CfSite Omaha 47 ~ 35798 79- '~~~~~ As provided by sec#inns 6321, 6322, and 8328 of the Internet Revenue Code, ;' notice is given that taxes (including interest and penalties? have been as~.>essed against the following-named taxpayer. Demand far payment of this liability has been made, but it remains unpaid. Therefore, there is a Tien in favor of the United ', States on al! property and rights to property belonging to this taxpayer #or the I amount of these taxes, and additional penalties, interest, and costs that may accrue. Name of Taxpayer ~ Nielsen and Petersen Go. 'a co oration) Residence 120 Ylest Lane Aida Nebraska 68810 ~ Unpaid Balance Kind of Tax Taz Period Ended Date of Assossment Idarttifying Number ~ of Assessment ta) s (b) (t) (d3 I tea ~ 9:41 - Oi ~ ~ 7812 09-~-79 ` BMF-47-0577176 ~ 1,3o7.8b - 10 i i i 7812 ~ 10-a1-79 4 BME'-d+7-0577176 f w , ~ 728.96 `• -Place of Fliing Register of Deeds 1 Courtty of Hall Ttttai ~ S 2s12b.82 Grand Islands Nebraska 68801 I f - Grand island Nebraska This notice was prepared and signed at * , on #his, the 2nd day of October ,1 g 79 rtle -trdOte: Cartlttcate of oNlcer authotlzed by law to take acknowledgments la noP axsen{isl to efw v~9di{y a Notko Of Fedetat tax Lien O.C.M, 25419, 7950-7, C. a. f25.) Part 1 - To t!e kept by recording otffco Farm 6t;@ tRev. 8-78)