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Forty ~~Y - ~' ~ '~F"`-' ~~=' ^'~' °'~ ~~ DaFartmert of the Tre2surv-Internal Revenue Sendcc <br />iRev. Septembert978)~ ~N~tice ~#~:~ederal Tax Lsen Un€ier Ir~~ernal ~$eilentl~ ~.a~vs <br />.~ <br />District Seriai Numt}er o.^r ar i o nr , o , ,: <br />- - -- -- -- <br />OMAF,A - '4T ? . 35983 ~ <br />79._.%.~k1 ~'~ <br />As provided ray sections &32t, ii322,_and fis23 of the Lt~ferna! Revenue Code, j <br />notice is given that taxes linciuding interest and penalties) have been assessed I <br />against the following-named taxpayer. Demand far payment of this Liability has <br />.,,gin made, Dui it remains unpaid. Therefore, there is a lien in favor of the United <br />Si3tt.~ an aii praperty and rights is property betortging to this taxpayer far the <br />amount of These taxes, and addiYlanal penalties, inferesY, and costs that may <br />accrue. ~ <br />__ i <br />Name of Taxpayer <br />Daz~l krnen rishar <br />Fisher Goa_struction _ <br />Residence <br />~9 Est lObh ~ <br />tdac~ Fiver, Nebraska ~`b^S3 <br />Unpaid Balance <br />Kind of Tax ,Tax Period Ended I Date of Auessmen[ ~ identn`ying Numtxer of Assessment <br />(a; rb,1 ic) io) tai <br />9111 - Ol ~ ?~ ~-1%-79 &+SF ~ r-~bObSll ~?, b95.41 <br />s'tegistzr of Z)ee3s <br />l Wunt~ <br />Lrarra Isla~ir ?debr~ka b+36t'I <br />Tom! ' ~ 3, ~-95.?k1 <br />Tt~sr~~~~t'~ar~dsi~r,:~a=__rar.~ Islart~ Aebrasics --------- ----- __-----.cnit;is, <br />the.~~_ C;ayctf2v`-v~tu... .t9 ~.~._ <br />- ---- __...._ __ •r--- _ ---- ---...-------- - ---- - ---------- <br />S:gnature Trrte <br />~c. eI =ante Revue ue 0if, cer <br />Yrierte Cae=_ncs>e ~.a a:r~si z.~rara ee~ .a ,aae a~r.a,~.vaaa mer,a » n2x assen[z, !o ~Re vaimay or faor.:e at <br />reoari+'a: i~an .s C Y. 25d'. z 18i C-" -:. a' !:5 7 <br />Pmt S - To Na itept fiY recording office Form 66$ iRev. &7Fi <br /> <br />