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Fbyjj ~i~a ~ ~,~.+~1'{J U tl a,J, i ~~Bpartmont of the Treeavry - Intrarnal Ravgnue Servico <br />(Rsv. Saptambert878i` Nt1#$Ce federal Tax Lien Under dnternal Revenue Laws <br />t~iS~iCt -a'~_ ria~ ~f~ttlfllber ~ t FoI OpeJonA( Uae by RBCwe/ng OtNCa <br />~ <br />1~7 ~. 38802 <br />D~ <br />~ <br />__ <br />As provided by s@ctiarls"8321, 8322, and g32~•of the lnt@ma( Revenue Cod@, <br />notit:e i6 given ihaf`fax@s (including interest and ~rtahies) have be@n ass@ssed <br />against the foilowing-netned taxpayer. DerAat[d foe' payment of this liability has ~ <br />been made, but it remaiFfS unpaid Thereforff'tttere is a lien in favor of the United <br />States on alt property and rights to property belorsging to this taxpayer far the <br />arntwrtt ~+ these taxes. and additional penalties, interest, and casts that may <br />fie. <br />Name of Taxpayer <br />MS.ley 0. Sandi in <br />CrPand faland Melding <br />Residence -- <br />j <br />I <br />32f;1, Bachman Road <br />C,rrestd Ts Nebraska 68801 <br />Rsirtd of Tae Ts: Peeiod 1 Owe of ~ Identlfying Ntimber <br />-ral - (bl (W Ltl) (il <br />~~ 8 ~6 02-021 BMMie" 1~7-0573177 525.7$ <br />~ 8 09-22-~ ~' 47-X573177 210.00 <br />' <br />941/01 <br />8009 05-18-$1 <br />05-z5-g1 <br />B1~fF' t~7-0573177 2.71 <br />2,769.82 <br />0 ~ ~'7-0573177 3,537.40 <br />0 <br />94 <br /> <br /> <br />. Sail <br /> <br /> <br />E <br />I 07.1j6-81 <br />`~` <br />I <br /> <br /> <br />I <br />~ ~` 47-0573177 <br /> <br /> <br /> <br /> <br /> <br />_ 1 268.23 <br />rfwv vi 1-{titly ,a <br />RG~Rttii82' of DBEK'r:8 t <br />Cottnt~g csf Hall Totef ~ i 7, 313.94 <br />Grerr3 island, Nebraska b8801 i <br />This notice was prepared end signed at. _.__ ~~ Island, Nsl~xa$ka <br />7th day of July t g 81 <br />__..._,_.-_~~ n 1 ,._.,f__--_ <br />on this, <br />i' U. i <br />ZY a D. I~tag@r Rev@nue Officer <br /> <br />L,1pfK CerGtlcats pt oMecer aufbmrsaQ by tow to take acancwtedflmants rs not essential to rim valiyity of Notipa of <br />Fsdaral Tax lien O.C.N. 2847A ifl567, C.B. ?15.3 <br />Pent t - Fo bO ic9pt by t®cssrtiing offk:e Form 888 iRev. s-Ta) <br />• ~ J <br />i,.~.. <br />