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Form 6~O 1 ~ !ktpartmcnt of tAO Treasury - tntarnat Aevonuo Sarvica <br />.~ `` '~~ic~~~uf Federal Tax Li>~~ Under Internal Revenue ~awrs <br />tReu~Spptember ,97IIr <br />--.~.._1._.___ __-. _____ __ _________~----__-__ -- <br />Qis#tict ~ , Serial t9umher~~ ~ fnr opnoner usa 6u Fccerdtnr~ orrco <br />'(1~fAAA k7:• t <br />3~Ic~ c~TT ` ~ -~ <br />_ _ . ~ -._ _ ._-.__i ~p-~~°~~ <br />As ~Sravjtted by sectiaris'632t; 6322, .and 11323 9f the Internal revenue Code, <br />~ot~e is giuen tha~~taxes (iraraud#ng #nferest and penalties) have been assessed <br />a~etnst`;{te foiW~tring-named taxpayer. aJemand fcr payment of #his liability has j <br />bloat! mode: taut i~'t8m9iias~unpaid: Thereicire; these is a lien in favor at the United <br />Staten eti ail property and rights to property helongtng to this taxpayer for the <br />amount t#f these taxes, and additiarial pertatties, interest, and costs #hat may <br />accrue. <br />_ 1 <br />Name atTaxpayer ----~ <br />Wcar G. and Grace E. Haeller ~ <br />f <br />t~escnenae <br />- ~~ Best Louise j <br />Grand Islands Nebraska b$St31 <br />Kisd of Tai Tat Period Ended Date ai Aunt Identifying Number <br />- .. 2aT - fA) r (c3 cd1 <br />lt)4G - 3_ ~_ 712 12 1? 7? 1 II3F 5~-+~7-5782 <br />~ 1 <br />tea <br />$6,i~3.io <br />~a11 ~anatp Total { i 5,3.10 <br />Grand-Is3ard. Nebraska 6F.SB03 <br />dayrM Y.~....,_., .i8 .~2,..,.. <br />__ _ _-_.~m__....~~,._~___,r--..____,__.~ _.,__.._..._.__~_..__-.._ ._..,-._.._-.~._._.--.-----____._. _._ <br />7>f#e <br />l Gn ~ Revenue Ofi'icer <br />{a~Yc c.-.rta4wa. .flb .~'w+* =+.T#atrriC~~ :.~ a. a1- ~ can't +t;,Yr~.rtut~~mY-its -3 .,::s as:a sAt ea xtf, v~tp~RY of ,t«tn sat <br />FlOtR1- Fta 2i8b f..S:.M. X61 ri1,. T "d311-4, G-$. ePS.~ <br />Part i - 7a t» kept by ~'~ otHKx ~ F3rm 886 (flex. 9-I91 <br />L.,_. <br />J <br />1,__. <br />