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<br /> �Aa��rtmant a�f thn 7reaoury-Internal Ravonua SsrvtcA �
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<br />---�ctober t8931 6�a�d�e �4 ����i��1 '�'�� �0���
<br /> SB1'181 �UnlbB�. For Optlonal Use by FiocordlnFlO�Jlce � �,
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<br /> _ 47964049F� g�?'"' �',��4� .�.: a''.
<br /> _ Omah�, NE�_�
<br /> p� �r�e!!�r� by an+;tl�ms� e.'i27, B:i��, and G��3 at ths Internd R�verauN � � -_
<br /> Cods, w�er� gl�ing a natice ihM t�xs�(Includiny fnt�e�tt end p�nai�i�e) �
<br /> have bean aeseaeed a��t���t the totiowlnp-nnmrd taxqeyor.V Y�hav�m�d� � �
<br /> e demend far payment oi tt►i� Il�bllity, but It Qematns �npslJ. 'iheretara� _
<br /> tharo 1� a Ilnn In favor of ths Unitad Stete�on all prop�Hy �nd ripht� to _
<br /> propariy b�lon�ln� to th9s tax��yAr for the amount ot thd�e taxes� artd � �
<br /> �dditlunel�enaltle�,inter�st,end costs that mey�ecruR. �_ __
<br />-:�:;of'i'axpayerNGlRMf�N C PAIJM �
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<br /> _�i'+:�«��:�.. �.��.0 W 15TH ST ; s.c _
<br /> � �+,� ,�� �,�►�ND I8LAND, NE 68841-36�7 �
<br /> 1�1���TAN`� REI.EASE INFORMATION: For each assessmert::sted boiow, "
<br /> �1nio�i;cao4ics of Ilen is retiled by tho date given in column(c��,4fi�is notice shall, +
<br />_ on thH�ay tQllowing such data, aperate�s a certiticate of r�iP�se as deflned
<br /> In IR�63�5 a . .
<br /> __ - - - - Dat�e of Laat Day for �lrr�3a4d��f�f��e �
<br /> Tax FerLud
<br />. Klnd ot Tex �n@gn] Identltyinp Number Asse�merot R�B�n{� a4��sa�'�arriens
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<br /> 1040 12/31/92 5�D'7-50-6923 8/14/95 0�/13/05 1823. 17
<br /> la4A 12/31/94 5Q7-5ti-6923 9/2�/�s 10/25/4S 40Q4.e0,: .�
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<br /> _ '---- . -. " ���i�s�te��of D�eds Tolsl s ��67.97' ' �
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<br /> �� - t3rwnd I�la d N 69801
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<br /> -�-:�;� Tltle Chief� �c��np fl5C
<br />� far AC� ,hc�n�-i-800-221-5936 47-01-OOOC�� �
<br /> (NQ7L�:CerllticRto of ottice►author{zed By 1aw to taks ecknowiedpments Is not esaentlal to the vaildlty'ot Notic�of Federel TaK Iicn
<br />_ Rev.i�u�.71•466,ts�1-2 c.e.aos� p��� .Kept By Recordln�Ottice Form S68(lf)(Rev.70-93) �
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