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( <br />• ~. <br />e ~' <br />~ Form L'LaO ~. '~' ,~° ; DeOartmer-t W tha Troaury - totsmaYRevenue Servke <br />t~.,,.se,,.~..,s2e, ~ ef'FedeFal Tax Lien Under Internal Revenue Laws <br />Piece of. Ffling <br />Re~3 ebs~' a~ Jleeda <br />Caunt~ bt 'Hal2 <br />Gram Ieland~ Nebraska 6B9f)1 <br />- - <br />TMenotion arcs pro¢arod and signed at t3rand Islands Nebraska . ~ ~~ <br />~ 30th day of November , tg 91 <br /> <br />~~ -~ '~ `~~ ~ Revenue Officer <br />G. MC~T1 w.w~ T~ <br />tM1111C CatNr:~eafa Oi O1licar autagiaad by taw io ra/n atltnowtailamM(t p not aasantiU to tM vaNday W HWba of <br />PWMaI Taa Llan O.C.M.2M10, lab0,l,C.a. 1?bJ <br />Put 1 - To be kept by Tecarding office Form ~ fRev.>)•i'6) <br /> <br />-.f~~~~+ - --_ .. ~ - Serial-Number For ODtlonat Usa M RecorAUg Olbea <br />- t1~NA 47 39765 <br />l4~ prov&ted t>y-;aectlons 8321, 8322, and 8329 of the Intemai Revenue Code, <br />nt)tliCe ieF given 2haC taxes (including interesE and penalties) have Keen-assessed <br />.against the following-named taxpayer. Devnar,d #or payment of this liability has <br />been made, but it remains unpaid. Therefore, there is a lien in favor of the Unfted <br />States on all property and rights to property belonging to this taxpayer for the ~~ C~ ~ ®~ ~ <br />8 1 <br />amount of these taxes, and additional penalties, interest, and costs that may ~ <br />1 <br />aix;nue. <br />Name of Taxpayer <br />Glen G. & Anna 1K. oudaback <br />Residence <br />722 N. Elm <br />Ga~and Is3:and Nebraska 68901 <br />Kind of Tax Tax Period Ended Dsts of Assessment 1 <br />de„tNying Number Unpaid BNance <br />of Aassasn,ent <br />to tug to) roe t.~ <br />lOt~0~30 9012 05_.,25-81 IMF 467 72 3430 9?1+.70 <br />Tt~ ~ i 924.7Q <br /> <br />