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<br />'",m 668
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<br />Depar1m~nl Of tile Trea:swr'i II'1ernal R",vtlf'lue SerVice
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<br />iRev. Oec-effibef 19821
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<br />Notice of Federal Tax Lien Under Internal Revenue laws
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<br />Omaha
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<br />47
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<br />I Serial Number
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<br />District
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<br />For Optional Use by Recording Ollice
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<br />44186
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<br />AS proYldefley SlICII/llt1l 6321, 6322. and 6323 of the Internal Revenue Code. notice is given
<br />that tax_1lnbtuding interest and penalties) have been assessed against the followmg.named
<br />taxpayer:,Qemand tor payment of this liability has been made. but It remains unpaid,
<br />T~erelore; t!Jefe illJt I!~ in favor oHhe UnIted States on all property and rights to property
<br />belonglng'l<hhis taxpayer for the amount of mesa taxes, and additional penalties. mteresl.
<br />and costs that may accrue
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<br />83-004089
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<br />Name of taxpayer
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<br />Wayne Cook
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<br />Residence
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<br />1812 W. 11th Ave.
<br />Grand Island, NE 68801
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<br />IMPORTANT RELEASE INFORMATION - With respect to eacll assessmantHst l>elow, unless notlC<>
<br />of Hen Is rell/ed by tile date given in column Ie), this notice shall on the day roliowing SUCh date
<br />operate as a certificate of release as defined In lAC 6325 la}.
<br /> Tax PerIod Date of last Day tor Unpaid ealance
<br />Kind of Tax Ended ldentilying Number Assessment Reflllng ot ~ent
<br />(a) (b} (e} (d} (e) (I)
<br />1040 - 30 12-)1-80 506--96-4796 0lp-1l-83 I 05-11-$9 $ 957.71
<br /> 12-27-82 i 01-26-89 I
<br />1040 - 30 12-31-82 506-96-4796 06-10-83 i 07-10-8<) $ 165.63
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<br /> I _,__u_________ -_._-"'-~- ,~,_._L_.",,_ -' -----
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<br />Place of flltng
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<br />Register of Deeds
<br />Hall County
<br />Grand Island, NE 68801
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<br />Total I $
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<br />1,123,34
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<br />This !lOti""..as prepafed and signed at __._,______,_,_____,__ ._.___.~, N,ebraska
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<br />,on thIS,
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<br />lhe~nd day of
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<br />___ 1\1~
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<br />____~. _'_'H._ _# ----~.u-..,--..-'-.--r.... .-.._ _'_
<br />~. .f ~.. ./ } i l 11\e
<br /><.?')~ '
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<br />RebeCCa. Liebsack I Chief, Contact Section
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<br />July
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<br />Sigr.atuf"
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<br />{.....; Cttltd"ot1t:;f CH~;':fF;- ';:;:v-'~-hor,.i'~ b". '0..... 1('. 'U~1lI o;,:-i<nv^.e-(tge..r,er'1~ ,:> ",;}, "'S:$oe,.'t,t.."I, ~(l ,,..;;: ,,'O"'CHt~ ,,;! ~'.);,':e _,I f~f;!r(J,
<br />G.C M. 264t9 19$-; C.B '25}
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<br />Part t - To ba k"Pt by ,,,,,,..ding ofllu
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<br />MioIl .M,-.~ . }.~<b
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