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°- <br />Form <br />tRev. seocmw. <br />Da~trict Sena) Number For omlanal uss bi aaicwd/n9 orr(ee <br />47 39865 <br />As provftied by sections 8321, 8322, and 8323 of the Internal Revenue Code, <br />nc#ice is-given that taxes (including interest and penalties} h+:•re been assessed <br />against the foll(swin9-named taxpayer. Qemand for payment of this liability has <br />been maxis, but it remains unpaid. Therefore, there is a lien in favor of the United <br />States on all property and rights fo property belonging to this taxpayer for the ~ 7 <br />j) (J ~ ~ 9 <br />~ <br />arrount of these taxes, and. additional penalties, interest, and costs that may ~ <br />.t <br />accrue. <br />Name of Taxpay_ er <br />Luann McGillivray <br />Custom Crete <br />Residence <br />1423 West Thard Street <br />Grand Island, Nebraska 6i3$O1 <br /> u~ <br />Kind of Tax Tax PeNod Ended Date of Assessment Identifying Number of Astassntent <br />(al (b) (cl m) b! <br />941 -- 01 7903 <br />I 09 2t3-B1 ~ 47-0b00577 z~197.38 <br />Hasa cT r-nmg. N~j,~er of Deeds ' <br />County of Hall Totem ~: zs197.38 <br />Grarsd Islands Nebraska 6801 <br />i <br />Tfnarnot+ce was prepared and signed at ~' Island. Nebraska on this, <br />the 11th day of December ,t9 ti1 <br />slonature ,} Title <br />Lyle D. Met r C' r G Revenue Officer <br />(PIpfK CerffHoafs o1 othcer authonred by to to tako aeknowtedpmenis is nor esssnnaf to ths- vaflolty o1 Aforke aY <br />FeAere/ Tex Uen O.C.M. 2tl419. 1960.1, C.B. 125.) <br />Part 1 -- Ta ba kept by recording office Form 868 (Rev. 9-ae) <br /> <br />~, '~ Degtanmam of the 7rg9~,aury - Imernal Revenue; Senrlca <br /> <br /> <br /> <br />