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i <br />Form ~6$ Department of the Treasury - In!ernai Revenue Servico <br />iRev. SeDtambar1978)' -_ Noti.~e_: of Federal Tax ~.len Under Internal Re~en~e ~.a{td5 <br />QiStfiCt ~ $eriat Number For Oational Uss by Recording ORicu <br />EY~lAHA 1+1 ~ 35807 ~ T'__ b~:~ ~~ <br />As previt3ed by sections 6321, Ca~22, and 6323 Df the interne! Revenue Cade. ~ <br />notice is given that taxes (including interest and penaSfiesi have been assessed ~ <br />agains# the following-named taxpayer. Dea:ancS t©; payment of this liability has ~ <br />been made, but i# remains unpaid. Therefore, there is a lien in favor of the 9Jnited <br />Sic :,;, a!i prrty ~d r~h`.s to wr;~~;,e,~; b@loi~ines t^ thES tax,n..aY° {Cr the <br />amount of thtase taxes, and additional penalties, interest, and ccsts that may <br />1 <br />accrue. ~ <br />Name of Taxpayer ' <br />Yaru.el S. Lane <br />1 <br />Silence <br />910 3riggs <br />Hs`tirags Nebraska b8901 <br />. Unpaid Batanae <br />Kind of Tsz Tat Period Ended I Date of Assessment j F6erttifyicty Numts9r of As~s+nslit <br />a; ral i rya 1 tai re; <br />1010 - 30 7ii2 ! a5-e2-78 ~ L~ Sob-Sb-~i17~i ~ ~i,10`7.35 <br />PfaOB crf ~Ning <br />~egLster ~~' Deesis <br />~+s11 %oazttg <br />Grad Zslarri~ Nebraska GBB03 <br />Totalf ! 31r1Sk?.35 <br />This vwas dared and signed at {~a'xi ZsZand~Nebrasica _,T. _ en this, <br />the Tttf ._ d8Y ti t5et.c~l~r , :4 i,~ ,~ <br />~ - ~ :Title - - <br />..~:Cc~ ../rte <.: t~.leas..y~` <br />ii. f~r^3~11i~r %.Fr:' ~eYe..~,2e f~f fire <br />A1m~ bt!,e.» ut axwrr a~ennrasc =rr ar :a ;atc~ a:•.x+3r=aap.~sors a net fuern,st ~ tae =•ssx.e"r W !`a"+ca d <br />Fwtlm+ii Tar tier ~..-t-iE ?58;9. YiYS:r#. ~ ~ ??53 <br />P'Mt # - 7o t7e kepi by ~ Form 86$ tRev. i178i <br />U <br /> <br /> <br /> <br />