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_, <br />Form 6~v .'. - - - :. ,-:_ De9ar~nent of the Treasury- Internal Revenue Service <br />(Rev. SeDtember1979) i~latiee_~o~federa!- Tax Lien Under Internal Revenue Laws <br />~_.__~_ .~ ~~b,:- <br />District °`---~ -''"''''' " ' Serial Number For Oppose/ We Dy gecartllnq OHlce <br />Omaha -_~,j `_ ~ '-. 39242 <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 the following-named taxpayer. Demand- for payment of this liability has <br />81--U U 4 6 91 <br />been made, but it remains unpaid. Therefore, there is a lien in favor of the United <br />States on all property and rights to property belonging to this taxpayer for the <br />amount of these taxes, and additional penalties, interest, and costs that may <br />accrue. <br />Name of Taxp(syer <br />Robert & Betty Singletary <br />Residence <br />1204 East 6th <br />Grand Islandr Nebraska 68801 <br /> unpaid 8atance <br />Kind of Tax. Tax Period Ended Date of Assessment Identifying Number of Aasessmatt. <br />- - (U - - fD1 (c1 - - - (tl1 - (e1 - - <br />io4o 12-31-79 05-o4-gi 525--92-9779 3~4e96 <br /> <br />dace oreamg Register of Deeds <br />I3a17. CouxLty Total- t 3,004.96 <br />Grand.Is2andr Nebraska 68801 <br />This notice was prepared and signed at Omaha Nebraska , on this, <br />the 3rd day of ~ embertg 81 <br />(Note; Carfillceftl of olhcer aufhorizetl Dy..~la~Y fo fake ackngwletlpmenf~ Is not essential ro Ms valW/ty of Nptlaa o1 <br />Fatlsral Tex Llen e.C.M. 204/8, IBSf}4 C.9. 128.) <br />Part 1 - To be kept by recording office Form 866 (Rev. 47a) <br /> <br /> <br />