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Form ~~~ <br />iRev. Sepiomber 1 <br />LDt5tr7Ct' <br />' Department ni fnorroasury - Internal Reyenuo Sorvico <br />Nu#i~e of F~d~ra~ Tex L~~~ U~cier ln~err~a~ ~e~e~~~ €.a`t~ <br />t UlAfiA 4'~ ~ 37204 ~ ~~~ <br />---~ - ------ ---~---j ~ ~ ems? ~'~,~ <br />As provided by sections 6321, 6322, and 6323°of the ! =ternai Revenue Code, ~ <br />na#ice ts::given #hat--taxes {including interest and penalties3 Nava Bean assessed <br />against ,he foSioixing-named taxpayer. Demand-for payment cf this liability has <br />been made, but i# remains unpaid. There#ore, tfteie is a )ipn in favar of the United <br />States on ail property snd rights to property belonging to this taxpayer for the <br />amfiun# of tt?ese taxes, and additional penalties, interest, and costs that may <br />I <br />accrue. <br />I <br />I <br />- <br />~ <br />Name of Taxpayer <br />1?`red Eberhardt Jr. <br />ResMenee <br />4324 Lariat Lane <br /> Untmid t3stattce <br />Kitfd of Tax Tax Period Ended Orate of Assessment + Identlfyfng Number ~ of Assessr>~tt~ <br />raT ~ rbi I .c; I (oi (aJ. <br /> <br />6672-Z7 <br />~ 7812 I~o'r'-21-80 NNiF 5o6-d+b-3o22N .._ <br />2,82q:00 <br />Register of Deeds <br />Ha11 Cauntg <br />Grarsd islandr Nebraska o66C?1 <br />Total !, ~ 2r 829.00 <br />~. <br />Grand island Nebraska <br />This ttofice wdS Prepared acid signed at r _ -.- - _ ` : cn thia, <br />ihe_lOth dayotSeptemiaer,lg 80 <br />Signature > (,, ' Ttfe <br />i® D. Met;"zgar freverue QfPicer <br />tNglc CK.'+4GatA of L~4YiEar sutm:uea >> A8w :o ;sio acanowEacgmanls :> nat assanL..f to fne v.iLtlRy tie Notx;a at <br />F~iprN fa: uen G.C..N. 28+Yi$;s~SO~r. , 3. r25.1 <br />?art 1 - Yo tie kept try recording cffictt` Form t':68 iRev. 9-75) <br /> <br /> <br />1~.~ <br />