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<br />Form ~~~ ~~(!f~•*FFAnpp ~ C F}~~l1Dre+p~2lrtmTen~1[v0lthe TOre~ai~u~ry!-nln(t~errynapf Ro,~ufanpueq~Sy~ervice r~tfpn9,p ( ~~lc <br />(Rau. Sa9Rernber197$1 1i~ltLG~' ~17~ ~~Mq-ii X11 '~..t i7A '.~~~Lrlf UIE..4~IG1 ~L~#~V7~.p'~', ~~~4 Y4sIYL Ln~IYVJ <br />D~Strict' ~_.-«-- Sefiai NUritbef rt F°r DPtionzf Usa by Racar~r~y,©NiCe <br />e <br />oriAxA a? ~ 36210 _.~ <br />i . <br />~O 'K" <br />I <br />As provided by sections 6321, 6322, and 8323 of they Internal Revenue Code, I <br />notice is given that taxes (including interest and penalties) have been assessed <br />against the following-named taxpayer. Demand for payment of ihis liability has <br />been made, but it remains unpaid. Therefore, these is a lien in favor of the United <br />States on afi property and rights to property belonging to this taxpayer for the <br />amount of these texas, and additional penalties, interest, and costs that may i <br />accrue. <br />Name of Taxpayer <br />JAMES AND VIOLET SHEEKS JR, <br />Residence <br />CAIRO, NE 68824 <br /> Unpaid Balance <br />Kind of Tux ~ Tax Period Ended , Date of Assessment ~ Identifying Number of Asmant <br />fs) rb! ~ (C) ~ (4J <br />i fd - <br />1040 - 30 4 7812 ~ <br /> <br />r 05-28-79 ~ <br /> <br /> <br />I II`iF 507-44-7068 <br />j 2,045.58 <br /> <br />3lgnature .. ~ c me <br />~v~ <br />ICEtAEL K • AR ~ t»{:II3£, 4FFICE BRAhCI{ <br />Wt: Qa4ItlCafp at o/MCrr rufAOrtlad fryr rsw to rake scknowrrdyrnrnta ex not aaaMtisl to [M wk"r~y 9t Npkr -at - <br />frtlrrrl Tsx Lirn q.C, M. pgatp, r9sp. r, C.a. t2b.) <br />Patt 1 - To Ao kept by rscwdinq oflk~- , Fam 86& tRev. 6.781 <br /> <br /> <br /> <br />