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DEIARTNENT Of THE TREASURY . INTERNAL REVEMY!- aewVIce <br />FORM 64 CERTIFICATE `OF "OK"Ang OF r2W4W Y # FNlRrAL TAX LIEN <br />(Rev. Auquil 7963} fSea 63T5f4Y7X/I ul A. Jrwnei no&~ Code) <br />WHEREAS, <br />Samuel L. & Sheryl L. Mehring QV— 10335b <br />_. <br />Of. 2516 Delmonte City of Grand Island <br />County of <br />Hall State of Nebraska <br />is indebted to the United States for unpaid internal revenue tax in the sum of <br />Five Thousand Seven Hundred <br />Twenty -Four and 79/100 ----------- --- -- - --- Dollars (S 5,724.79 ) <br />lawfully assessed, to wit: <br />KIND OF TAX <br />(Q) <br />TAX PERIOD ENDED <br />(b) <br />ASSESSMENT DATE <br />(e) <br />IDENTIFYING NUMBER <br />(d) <br />UNPAID BALANCE_ <br />OF ASSESSMENT <br />(e} <br />* 1040 <br />12 -31 -79 <br />11 -17 -80 <br />507 -54 -4768 <br />3,865.08 <br />1040 <br />12 -31 -80 <br />09 -09 -81 <br />507 -54 -4768 <br />887.43 <br />1040 <br />12 -31 -82 <br />09 -26 -83 <br />507 -54 -4768 <br />449.76 <br />1040 <br />12 -31 -83 <br />09 -30 -85 <br />507 -54 -4768 <br />522.52 <br />NOTE: THIS CER <br />IFICATE IS A DI <br />CHARGE OF ONLY <br />JE PROPERTY LISTED BELON <br />D IS NOT A <br />RELEASE <br />F THE LIEN <br />* Orieinaliv Filed 12 -10 -80 - Refiled 3 -6 -86 TOTAL <br />S 5,724.79 <br />V11EREAS, to secure the collection of said tax, notice of the lien of the llnited States, attaching to all the <br />property and rights to property of the -73id taxpayer on account of said tax indebtedness, was filed with the <br />Register of Deeds for the <br />County of Haile <br />, In accordance with the applicable provisions of law. <br />WHEREAS, the lien of the United States, Federal Number 37662 * for said tax has attached to certain 72 , <br />40314, 54 <br />property described as: Lot Seven (7) , Block Three (3) , Bel —Air Addition to the City <br />of Grand Island, Hall County, Nebraska <br />Form 669-0 (Rev. 8 -83) <br />U <br />