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<br />r <br />FOIat _, _, Uelpartmennt Mahe TrDaavry' InCemat.Revrmve Serv7ce <br />face o <br />(RSV. 8~pt.rnber,?7a, ' f i=~ae~ai'' ~'ax Lien Under internal Revenue Laws <br />aiatrict _ ..- - Serial Number For Opr/ona(Uae Dy RecorElnq Omca <br />Omaha 4'1 3974z <br /> $ ~ - s~ t~ 5 9 7 3 <br />As provided by sections 13321. 6322, and 6323 of the internal Revenue Code, <br />notice is given that taxes (including interest and penalties) have been assessed <br />against the folidytring-named .f~(payer. Qamand for payment of this liability has <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 />atxrue. <br />Name of Taxpayer <br />Larry L. 3ehrens <br />Residence Box 95 Kin~sweod states <br />Grand Island, Plebra~ka o$t 01 <br /> <br />Kie(d of Tax Tan Period Ended 3~te of Aasesaner,t Identifying Number of Assessment <br />tU (D) fW (a) fa) <br />io4o-30 7 iz <br />~ 1~.--og-$i I,?>. 5o6•-4z-143 1,91~.3i <br />io40-30 ~z <br />7 11-cx~-~1 r*.~F 5o6-4z-~4~3 5,536.74 <br />io4o-30 7912 i1-o9-~1 <br />I <br />I i::~ 5o6-4z-i4.~3 3,$74.b~ <br />Place ofFtting Ra)? 3ster o£ Beads <br />GQUxi~~,~ o,f Iia11 <br />Grand Island, idebra. ka 6~~01 <br />I Rle <br />7~lichael Ponta I Revenue O~ficar <br />(NOb: CertMicara of vfNarv avrnoruad Dy taw rv take echnow/etrpmann a no7 assanna( ro rM wYSNy M Nglk. W <br />FeWn( Tu Lien ~,QM. Y841 q, r9bP f, C. a. r25.) <br />Part 1 - To be kept by racordirep office Form 888 (Rev. 978) <br /> <br />Tom ~ i ~,r3~.?3 <br />Tt~Prepsig~tat Grand Isl;a)id~ Nebraska- .this. <br />tt+e nd dayf)fDece(uber ,tg ~~. <br /> <br /> <br /> <br /> <br />