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r..,-- <br /> <br />Form ss~ Department of the Tresaury - Intamel RevOnue Service <br /> Notice of Federal TaxLien Under Internal Revenue Laws <br />(Rev. September 197E) <br />(}#$trti,t Serlal Number - For 0pt7ona7 Use by Recording OfIlea <br />Omaha <br />47 _ 38220 $ ~, --- ~ j ~ f 1 ~ t~ <br />-- <br />_ <br />As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, <br />notice is given that taxes (including interest and penalties} have been assessed <br />against fife following-nalnad taxpayer. t;zfnard fOr payment Of this Ikabifity ties <br />been made, but it remains unpaid. Therefore, there is a Tien in favor of itle tfiiited <br />States on ail property and rights to property belonging to this taxpayer for the <br />amount of these faxes, and additional penalties, interest, and costs that may <br />-eras. <br />Name of Taxpayer <br />Paul Bradley Johnson <br />Brad Johnson Construction _ <br />Residence <br />• 315 TrJ. Koenig <br />Grand Island Nebraska 68801 <br /> UnRa~ Balam~ <br />ICgid ~ Tax Tan period Ended Date of Asseasreent Iderl~fyirrg Number of arrt9~rt <br />(a) fb) (c) (d7 (at <br />941 - 01 7803 01-05-81 BMF 47-0589425 127.90 <br />941 - O1 7909 04-15-80 ~' 47-0589425 3,765.21 <br />941 - al 7912 09-08~o BMF 47--05891,25 2,665.95- <br />941 - O1 8003 Og-08-$0 BMF 47-0589425 1,769.86 <br />941 - O1 7912 i~ 10-06-0 <br />1 <br />I <br />i <br />' BMF 47-05895 <br /> <br /> <br />~ 235.22 <br />race or Flung Register of Deeds ~ <br />Hall County Totaf~S gs764.04 <br />Grand Island, Nebraska 68801 <br />This notice was prepared and signed at.. __~£~i3~.Lg18tld,_ Nebraska ._._ ______ _____ , on this, <br />dayot March ,ig 81 <br />ut(e <br />Revenue Officer <br />tiKOtf: Certificate of ofliter authorized Dy few to take aeemow/ad9ments rs cot auaalfa/ ro the validity o1 Notice of <br />Fed®ra7 Tax Bart G.C.X. 28479, 79$47, C.B. t25.) <br />Part 1 - To be kept by recotdin9 office Form 668 (Rev. 9-78) <br /> <br /> <br /> <br />