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<br /> � i ~ Depa:�mos�t of tho Yreasury-Intemaf Revenua Servtea � ` ,�_ .
<br /> 37747 , ����-:
<br /> ;�o��se m c�� �lotic� of F�deral Tax Li�n . . . . ; .
<br /> . ,(Rev.October 1993) � . ' � ° "�``-'
<br /> For OptJOnal Uss Dy RecordlnD Gflke
<br />' � District Serial Nurtsber ��� ���� � . . � � ,
<br /> ° i 399712347 Q • . . , .
<br /> _- i h1I DWEST , ' . ` ` •_
<br /> .` •; qs pro�lded by secttonQttce�that taxes (no�t�u�d ngttntereat and�Penalties) � � . : -- :--�T- �
<br /> � Coda.v�o are glving e � . . ,
<br /> �. � [�my�Besn assessea agalnst 4he tolfowing-named texpaYer.Vl�e have made - _
<br /> _ s damand tor paymen4 04�e tlnl�ed Sbies�an allaprcP@rh►la a ngnt$to i. ` - .- .-.-- -
<br /> t i t e r 0 !a a U s n I n f a v a r o f e��or the amoun t o f t h e s� t a x e s, a n d � � � :� .:::.-
<br />. � prope.4y belongtng to thls taxpaY __.��-�-�.
<br /> additlonal penattlea,tnterest�and costs that may accrue• ^ < � �
<br /> �� Name of TaxPaYe� JACK A � UEH J Z IMMER � , , . ;_^;_�'�
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<br /> � - - ' - . � � •rr�- � -
<br /> � Residence 41b� W i R RD NE 65843-4000 � _"`� `
<br /> � GRA►�1D ISLAI�lD, . . �..�` —
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<br /> � IMPORTAPIT RELEASE INFORMATION: For each assessment tisted below. �, � . - ;.-�� :�,t:�-�';-
<br /> untess notice ot lten is refiled by the date given in column(e).this notice shalt, � -_�:_��;;;,�.
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<br />, � � on the day foltowing such date.operate as a ceRificate of reteasa as defined _�y.
<br /> ln IRC 6325(a). Unpald Balancs � �. � �;
<br /> .� � Tex Pariod Date ot Las4 Day�r ot Assossmen4 � : ' .
<br /> ` ' Identitytn9 Number Assessment R�e��9 �� �.�:.�I":
<br /> ' [Und of Tax Ended (c� �d� ��: �
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<br /> 505-74-3�09 04/1�/g� 05/10/45 2498.33 � „ ,� �
<br /> 12/31/9.. ° :�
<br /> 1040 ���. ��., �.
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<br /> .: Place pi FJ�I�g �.. Total S � �'� _�-__
<br /> Res�i ster; of Deeda 2498.33 . •. �'=�,-�' '
<br /> �.' . �," ';Hal l Cau.nty .. . . .r. -- -.-�
<br /> �'" •�3r�nd I31�nd, NE 69801 '� � . . _ � �_
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<br /> .� .'` Mi 1 waukee, WI . on this. � .•._���.'�:�:, �,:
<br />� � This notice was prepared and signed a2 � �•:��-T--�~°�-���
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<br /> . , e �7thday March 97 � ' • ,T�`•�;�;'�".:s}:;,,�..
<br /> . th �..- cf , 19 . �=�""'
<br /> . StgnBture Title Revenue Of�ficer 39-0l-2237 Q � . � . .
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<br /> (HOTE:CYrtlticat�01 oiflcer nuthorized by law to teke acknowledpmonte Is not essential to the veltdity of Notic�01�o C ta1 R8 1110/93� � � � '
<br /> a�v.au�.��-�ae,�s�� •2 c.s.aa9� Pa�� .Kept By Recording Offlce Form 668(Y)( ) ( • . . '
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