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OaGhtimer.! M the '.ensa,rr-ir.~¢r,.ai f?~-v~nue 3er;:,;; <br />Form <br />'RO V. SeGtei }wr t 6, s; <br />~~ `'~ `Albt~e of Federal Tax Lien ilnder lnternai Revenue Laws <br />Dishirt ~ Serial Number - (~~e ey aaoo:m~~ -~r:,e -- <br />oMJuiA 47 37713 -- - - ----- <br />As provided by sections 6321, 6322; and 6323 of t:,e tnternai Revenue Code; <br />notico is given That taxes (including interest and penalties) have been assessed ' <br />against me following-named taxpayer. Demand for payment cf this liability has i <br />been made, taut it r~rhairig unpaid. Then3tors, there is a lien in favor of the United ~; 8Q~ ~~ ~j t 3 <br />States on ail property and rights to property belonging to this taxpayer for the <br />amount of these taxes, and adtlitionai penalties, interest, and costs that may <br />aecnJe. <br />2616 Fl. 1st St. <br />Grand Island NE 68801 <br />Kind of Tax i Tax Period Ended i Date of Asser~nent ~ Identifying Number of~ <br />ra) ~ (D7 I fW ~ (tlJ fsJ <br />1040 - 30 ~ 7812 12-OL-80 IMF 506-66-5552 4 4771,86 <br />Register of Deeds <br />County of Fiali ~ <br />Grand island NE 68801 T6ta1 ~ $ 4771,86 <br />This notice was Rrepared and signed at <br />the 17th tlaYOfi December t9 80 <br />on this. <br />argnacure L~ ,,i i Tae <br />Betty White' ~ .~`'L~C/~-fjfL-~. acting Chief, Office Branch <br />!Mesa: Crertrtaarn nr or;=~.a: a nosed w m raze ~cxnowradamrer~r, re nm assennar to ma vanmry or nmtce or <br />Fedarxt ras Lion O..C. M. 480rq 1950. ), C.B. 125.) <br />Part 1 - To be kept by recording oflico Foam 6ti8 (Rev. &79> <br /> <br />