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~ -- <br />Form U~M ,.., ,. Department of the Treasury -Internal Revenue Service <br />iRev. Sepiemtrer 1978) -' ~~19#i~e"~~f~Federal Tax Lien Under Interne! RBVenlle LaI+~S <br /> <br />. ~ - _ <br />tai 8esds Ta~ai 3 ~r335.77' <br />As2.1 t)aamt~ ~ <br />f~aad Island, slta 689131 <br />. Tf+aa a i.ae pepclened arx! a>gned at t ~[S~lfiit~. - . en liar. <br />tlya_3~h._+iatr~ S~ .f9 80 <br />~j,, ~,...~.. ~ T <br />aa~ o.aleo.r a+ sr6var .~a+,artae w ta. !e aIw ~ a xr ....~ ae ma ..+im~r a War<- a1 <br />fr.v T~ ,.an a c.ti za.i rt r aso-t- C-9. azfU <br />Part i - Ta ba ~IGr ~ seoadinD ot~oa Fort+t 56$ tRev.1}7E? <br />iwe~. _ ' e <br />District Seria} Number ~a Opt/anal Usa OY RecorCing Office <br /> <br />CAfAFiA 36305 <br /> <br />As provieied by sections 6321. 8322, and &323 of the Internal Revenue Code, <br />notice is given that=taxes tincluding interest and penalties) have been assessed <br />agaktst the #eI}owing-n8me_ d-taxpayer- .Demand fnr payment of this liability has <br />been made,-but it remains unpaid. Therefore, there is a lien in favor of the United <br />Slates on al} prriperty and rights to property belonging to this taxpayer for the <br />arnotlrtt of these taxes, and additional penalties. interest, and Costa' that may <br />BCtXU6. <br />Name of Taxpayer <br />Qen A. and Bernice F. Aadertfeldt <br />ResFdetfce <br />&ac 2q7 <br />FY~3.lert Nebraska b86 <br /> <br />tCfeW of 7ez <br />Taz Period Es+ded <br />Dam of Azaaasament <br />ldeneNyin4 N-:mber LfopaW Balance <br />of Atment <br />fy ~ tc) rd) (y <br />100 - 3t3 ; 812 ©3-,28-7q ~' Sa5 36-3105 54., 335.T7 <br />___. _.. __ - _.. T <br />t <br />J <br /> <br />