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Form a !, Department of the Treswry - kttertlal Revenue service <br />(Rev. Feb, 1983) N � Tax lien Under Internal Revenue laws <br />-- L -- '- --- SenafNtwaber For Optional Useby Recording 0 <br />' <br />Omaha'"'47 54017 010 217 <br />As by sections 6321, 6322, and 6323 of the Irftemal Revenue Code, <br />not�yiven that taxes ((kKkidin9 interest and Penalties) have been ! Q <br />a......d the foiiowirt nawod taxpayer. Demand for Payment of ! g6r•• 101641 <br />this N0W* f'bem made, but it remains unpaid. Therefore, there Is a lien <br />In favorof the llrfited Sties on all property and rights to property belonong <br />to this taxpayer for the amount of these taxes, and additional penalties, <br />interest, and costs that may accrue. <br />Name of Taxpayer -- - - - - -- <br />Cargill, Don & Donetta <br />Rt 1 Box 222 <br />Grand Island, NE 68801 <br />IMPORTANT RELEASE INFORMATION: W:�h respect to each assessment listed below, unless <br />notice of lien is refiled by the date given in column (e), this notice shall, on the day following <br />such date, operate as a certificate of release as defined in IRC 6325 (a). <br />Kind of Tax <br />(a) <br />Tax Period i i <br />Ended i identifying Humber i <br />(b) (c) <br />Date of 1 <br />Assessment <br />(d) <br />Last Day for ! <br />I Refiling <br />(e) <br />Unpaid Balance <br />of Asseewneftt <br />-'T — <br />1040 <br />! 12 -31 -761 506 -50 -9066 <br />©1 -09 -84 <br />02 -08 -90 <br />$ <br />1,938.16 <br />1040 <br />12 -31 -771 <br />02 -06 -84 <br />03- 08 -90; <br />$ <br />1,844.05 <br />1040 <br />12- 31 -78j ! <br />02- 13 -84+ <br />03- 15 -90! <br />$ <br />45.79 <br />1040 <br />12- 32 -79', <br />01 -02 -84 <br />02- 01 -90- <br />$ <br />1,856.72 <br />1040 <br />12 -31 -80 <br />02 -13 -841 <br />03 -15 -901. <br />$ <br />1,931.78 <br />1040 <br />! 12- 31 -81; <br />i <br />, I <br />I <br />02 -13 -841 <br />03- 15 -90i <br />$ <br />1,519.44 <br />Place of Fling <br />Register of Deeds 9,090.15 <br />Hall County Grand Island, Nebraska 6IT8*q S <br />Omaha Nebraska <br />This notice was prepared and signed at -- on this. <br />19th March 86 <br />the day of <br />I the <br />e-�-�'-Ri-t-a 3 <br />(NOTE: Certificate of officer authorized by law to take acknowledgmenls is not essential to the validity of Nonce of Fecerai Tax Lien <br />Acv. Rul. 71 -466, 1971 -2. C.B. 409) <br />;yet t , r�P.rOrt ift ^r <br />Farm 668(C) (Rev. 2.63) <br />I <br />'mot <br />