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f Form 6~p Department of the Treasury -internal Revenue Service - (Rev. Sep*.em®Fiert978) Notice of Federal Tax Lien Under lnternaf Re~renue Laws District -~ Seria! Number ; 1 or Op?ionat Use by Recprtling tlgice OMAHA 47 36145 ~ _ _ As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, .notice s given that taxes tincluding interest and penalties) have been assessed against the following-named taxpayer. Demand for payment of this liability has ` been made, but it remains unpaid. Therefore, there is a lien in favor of the United States an alt property and rights to property belonging to this taxpayer for the amount. of these taxes, and additional penalties, interest, and costs that may accrue. I -- i Name of Taxpayer Ronald W. Fischer Residence Kuesters Lake #19 ~ ~ Unpaid Balance Kind of Tax ~ Tax Period Ended j Date of Assessment { identifying Number f of Assessment (e) ~ rb) ~ (cl ~ (d) - ra) 101+0 - 20 7212 08-13-79 ~ NMF 506-44-4D69N f $1f108.94 1040 - ?A 7312 OS-13-79 { ~`~' 506-1iJ+-4069N ~ 7-r 457.83 1040 - 20 7412 08-13-79 ' ~` 506-1.,t,.-to69N 2r307.5b 1040 - z0 i 7512 ; 08-13-79 ~ NMF h~6-41+-4o69N 3,186.05 l p i I i E 1i i w f I_ i Racy of Fiiitig Register of Deeds Hall Ootmt~ Grand Island, Nebraska 68801 i , - ~ --- - Tt~al ~ = 8,060.36' This'ndtice was Prepared and signed at Wand =s],and, Nebraska . on this. the 19th day of December , t 9 ZQ~_ _ tNgta Gert)tfcgta gt Qtllc~ suthurl;~J by ',ear re rake ackne~xtgggme+sta ks rscr e~s@nt:_t tit. t1b v;~3?f'_ a! Nct=ga.-.~ _.._ Fagwat Tax Ltan t3,C,M. 2p119, t25at, ~.a. 12G.) Part 7 - To be kept by recording office-".? Form 888 (Rev. $TS)