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__._ <br />.... -. <br />Forl!( ~ ;_. pyNrttneot of the Treelery-Mtemel Revenue Service <br />cpN s..w.~ro.:,~ ~ ~~8d8~1"Tax teen Under Internal I~eVeniie Laws <br />_ _ ,::: <br />fa1f9t77Ct - _ ~„ .; .NlfnltkN ~'w Oetromt Uae eY ReooreMp Orttce <br />': ~ 47 38732 <br />As prov~led by sadia~s 8~°t. 8'322. teal- : at=`the )ntemai Revenue Code. <br />fi4f~ ~e-~u~-ti~tar[~ finCittd#e~q 1?'+tst -D~rsaPties} have i~en assessed ~ <br />a Epe toxow~ng-named; ire mr vet of this iiatriithr nas I 8 I -- (~ 0 34 ~ ~C- ~. <br />tfl~tf mi~1e, tftft ft remains utf~diti~~Pi}taYl, there is a"tian in tavor of the Unfted <br />.~ 6n a1C {SFOpetty and ri~t1.s to property tfbbtt{tkt$ to this taxpayer for the <br />atie~tfrtt of ttteae taft~: and additkN~l interest, and costs- that- may <br />ec~xtfe. <br />Dtfeafia ik Diane Smith <br />111 <br />~^,~ ~. Sttfadf+ell <br />ft!•a3ad. Islsfyd~, l~ehrasica 68841 <br />Idnd of Tuft Tmt 9gritf~taftlad ilaN d AsMema-t WwtMyitg Nutftb~ <br />`ro) td re) rep <br />f 3~- 79.2 03-34-81 Iii 545-64-1556 <br />I <br />arm <br />w <br />1,377.86 <br />Yopti. ~ ~-1.377.8£, <br />f#f~ti~fdtft+ftli#iaeslts~rtadat Ts'~~ .ortth~. <br />rite ~ day of ` t 9~ <br />~~ _ ^.. _...- <~~~ Tina <br />L,y2e D. MaLfsgsr ~ • Revean a 4fficen; . <br />f _ <br />tfi#MC C~ntirroate or Wlicr at,snw+cw0 by tar eo tab sclwgrteeymerts b ocr esse6tW ~ to rM v41ey~. W ~.MgNoe-, a~. _- __.. - <br />- ~ P~wr it. r.lert ti.GN.2Nr0. t%fY i. G.& tZ5-) - - <br />Part t - T~ t» tfept by racordgfg oHitse ; Form ~8d (tiev. 9-Ta) <br /> <br /> <br /> <br />