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Faftm ~~V ~(~/~ pT~p CCQ~}pDreyartn'jontVOf tpha Tgropa~sury-ntnrt~arpnari RlopvCO¢npuurS9eerwicepatf8i~f l~q} 8 tc~ <br />ERBV.;Sepiemtyeri 87$}~ _,. ':,; ~7!/~~AR~ ~f redLr~1 1 ~/9 C~(:4rf ~IBU~i! SiFile2 li Qd~ HIV YLfYE4~s 6.~YIr~ <br />t3";6trict _.~._. -- 9er1a1,Nun7be~r For our,oaar use ay srocarnr+,g crr;oo <br />~ <br />{~(AEIA ~~-- <br />~ 37205 <br />~ {~ <br />80°- ~i1'U er} ~ ~ Q <br />~-- _ <br />As provided by sections B32T;`8322,-and 632 of the ;rternai Revenue Code, <br />` <br />optics I <br />s;given tFiaciaxes (iorcludi rnferest and <br />ncf ' penalties) have been assessed <br />' <br />ag~nst <br />t#ie folfawdnq-named taxpayer. Demand for payment of ihfs liability has ~ <br />tin m~fe, but It rerrrains unpaid. Therefore; first's is a lien in favor of the United ' <br />Sfat'es on art prrty-and rights to property l~fonging to this taxpayer for the + <br />amount of these taxes, anti additional penalties, interest, and costs thaE may <br />aCtteue. <br />Name of TexpaYer <br />Glirista Fberbat+dt <br />Residence <br />k324 Lariat Lane <br />~ I ka 6880 <br /> <br />of Tax <br />Tax Period C-nded <br />Date of Asmsmend <br />Identifying Number Unpaid Bslance <br />et Acaeasmsnt <br /> <br />72 - 17 7812 ErT-~7.-e0 Ntg' 505-94-~4848N <br />i <, 829.00 <br />1 <br />f <br /> <br /> <br />- j <br />~ <br />f <br /> <br />i <br /> <br />+~ <br />- <br />~sgi~e~of 1?eeds <br />Totef S 2}824.00 <br />tiraad Isl.and~ Nebraska 68801 <br />notice:r~ett~~aGeretiacrat-sirzrteclat ~'aad Is3.and, Nebraska ,cnthia <br />ttse ii1Li~ day of ~°si>~er.ts~ <br />s~isurwre ~1~ j.?< ~ ~ Ttie <br />e I}, !lntager Revenue Officer. <br />pfer~ Cerro#i:tU W aNdcer aumarua4 by ta.r ~p :eke ar.~tneaHe~pneats ra nx assent~e! to :'so val+drgy o: Nice al <br />FedYlraf Tu Lren i3.C.M_ Z64iy )9567, u 9. r2g.) <br />Pert f - To be kept by reCOrdinp olfke, Farm 888 ERev. 9~7s) <br /> <br /> <br />E.~ <br />