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Fw~i ~~*~ ~f p06~~a1ftment o! tfie Tre2ra37t-22F~tjamal Rev¢,}nue Sorq+riice g ,~ <br />{Re. ~y;ember287$7 Nof~c~~~k~~~~~ f87f ~~~~ {~~ii~i~ ~~tL'fRs'1~ R~Y~RU@ $.a~f5 _ _ - . <br />• ' ~ _ <br />~is#rict _ ~ 3etiat Humber ~, or tro„~ ua,<br rteo~a,,~ o!tr~ <br />ClBAtiR: ti7 . ~ ^^ 37905 <br />its preslided by $ectians-632Y, 6322, artd 8323?ct the internal Revenue Code. ; <br />ro#iGa is 9ivan that-hues {inciudin9 in#erest and penalties) have n as~sed '; <br />agaicsst '.ne 'olfc~iditlg-named taxpayer. Dentartt#-for payment of this liability has <br />been made, but iF remains unpaid. Therefore, tide is a lien in favor of tine United <br />States on asi property and rights to properly tiefortging to this taxpayer for the <br />) <br />amourti of 4hese` taxos; and additional' penalties, interest, and costs that may <br />active. <br />,~ ~ <br />Jia7 ofDenmazi 1 <br />E 2811 Bast F$ghway 30 <br />Grand Islatid* Nebraska 68801 <br />_ _. 7 } <br />_ ; <br />Kind ai Tax ~ Tax Period Erdad . Date of Ass~srnani <br />ra) i ref rct <br />I <br />I <br />E <br />tdentityiog tdutntser ) - a~ - - <br />cal - - ra - <br />~' b7-0609613 i ~~.39 <br />( <br />I <br />Place of FGfnn I <br />+ _ Re~t.ster ~ Deeds... ~ rat S x.39 <br />v° .Gaunt <br />Grt$td Islandr Nebraska 68801 <br />This fwt~e xras prepared and signed at _ 4rend Zsla~ci~Nsbraska _---- , on this. <br />the 1st day of August ,t9 ~ _~ <br />- -- - --- r----- _-_-- _ __._.._.._.. __ .__.. _...__.._ <br />(WOr'Yi CanfrFCate Ot rzllic62 autncverg~ fry law iv fak4 ask+le+wl~dprztunFS !s rzoF eti6ert2Fa1 f0 lltu vaFM+{y pt Nu!~ep o1 <br />Patient ]'i[ tMn G.G. M. 2BCf9, fyS4 f, C. $. iFS.) <br />Pan Y - To be kept by recording ottke Fornl 668 (Rov. 478) <br />6___ <br />4~ <br />