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i. <br /> <br />Porn ~ - L1oPaRmerrt of fl7o Troesury - in:emei peeenuo SarvMe <br />fRO~r,-$epi®m6ort87a} ~leU~--of ~deral Tax Lien User lr~ternai revenue Laws <br />dJiatriCt `~~~ Number Fw opr/orreJ Use <br />by RaCOrtllnQ Offba <br />flf~liA t,.7 39755 <br />As provided by sections 13321, 19322, and,8323 c+# the internal Revenue Code, <br />rror)ce is'given that taxes (including interest and penalties) have been assessed <br />aga7inst the fallowing-named taxpayer. Demand far payment of this liability has <br />been made, but it remains unpaid. ', nerefvra, there is a lien in favor of the United p 'I ~} u U ®€~ <br />States on ai! property and rights to property belonging to this Taxpayer for Fhe 8 1- <br />amount of these taxes, and additional penahies, Interest, and costs that may <br />accrue. f <br />Name of Taxpayer --y <br />iaSl. Q. Sandi i n <br />d:/b f e Grand Island k'elding <br />Rural Route 1 <br />St.-Liboryy Nebraska 681372 <br />Kind of Tax Tax PeNod Ended Date of Asseasrtosnt Identifying Number <br />(a) (bl ~ (cl (tl1 <br />941/01 8103 08_10-81 ~ BMF 47-0573177 <br />Rs~ster a~ Deed}s <br />Crn:ant~r of 1 <br />Greatd Is~„azad~ Nebraska Ei8801 <br />~~ <br />fol <br />a, 958.69 <br />Ttlfi~il g ~~958~b9 <br />Grad IalarJr I~ebeka. <br />=^~twa-~pra~ar~ar~a3igri~at~--------_ ~ <br />the ?l+th day of November , t g 81 ~___._ <br />an this, <br /> <br />q+~oa: Cautllkat. of o@rcar aurhwi<e law ro rake aeknowlsdpmenrs is nor asaen6al ro Mar wl}tllry of Motlee of <br />Feoorol raM L!M O.C.M. YOirD, rD5P 1, .9. 718.j <br />Pa-t t •- To be kept by recording office Form 88d (Rev. 8~7s) <br />I <br /> <br /> <br />i_.._. <br />