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ADAMS COUNTY, NE
FILED
INST. N0._.,~.Q Q.$.D 2 ~ ~
Date L-. Time - 5 g ~
~~~'
REGISTER OF DEEDS
RESERVED FOR REGISTER OF DEEDS RECORDING SPACE
ADAMS COUNTY NE
PAGE 1 O~ ~_PAG-ES
OL/:~=7,~20G''i3 'P[3l7 15: :G Pi'1X. ,SG2 ?. '11 <<1~9 Ut^.C ur'_"_'Cth?•:?'~aP.'~ Of' EiAT~ -••' A+a'ns
Farrn 6b$ (1f~(ca
(Rev.. Fe~ruary 'ZOGd;
Tara! ~$ 13y5 ,39
Area: Seria! ,Vumbe~r' Far Uptiorial Use s,y Recording 0`fie2
~-
SD7AS,I, BUS; TNESS f 9A;I~r Ei~1w if:JYEG ~.FtC.ta #~
Lien Unit 'hone: iBGQi 513-
;GSa
:
_
- - - 4Ia1272Q8
~
CRr ~f [.laic .l'ahr~ k 3 '
As provided by sertrryn b~i2 t,, c~32?., and 6323 of the Internal Revenue }
0 - UCC FTI_
~ ~ ~ I Il .j i ~~
bode, we are g#aring a notice that taxes (includirfg haterest and penalties) i
leave been assessed aga~lnst the foiiowfng-named taxpayer, vve have made
a demand for pa~ttent of this liai7ility, but it remains un.pald. 'I'IrPrefare,
there !s a lien In favor of the United States on alt ro er and
p p . ty it$htS to
9508544737-t
property belonging to this taxpayer for the amount of these taxes, and Pars • 1
F11e
Ra~ia24
4
~G
additto;aai penalties, interests and costs Lhat may accrae. tl
/
~<
~L;.D9 YM
Name of Taxpayer 3.tsC~ihF;D G :1E'C.D & I?E.ANNE K D~'RR
DEAPF~7u K =rC)RF-
~ __
Residence
ti90 Id ADAMS CEl`rI.'RAL A'.lr: ~~
Jt7NIATA, '~''L 68955•-0000
IMPOg.TrANT REI.E,i4,~iE IAII~{Y.RMA7'ION: Far ear~h assessment G::red below,
unloss noti0e ofi the lien is refiled by the date given in column (e), this notice shall
,
on ±he day following such date, operate as a certificate of release as defined
in IR0 G325ia).
1tLind of 7('ax. Tax Period
Ending
Identifying NUmr6er l~at+~ of
Assessment Last L1ayy fQr
Refiling ilnpald Ba{ante
of Assessment
(a) (h) (c) (d) (n) (f)
1040 12~j3?/20QF XX.X-XX-521 10/2~/2UOi 11/21/2017 1395_x9
w
Place of Fifiny
Department of the Treasury - interne! Revenue Service
Notice ®f Federal TaEx Lien
i~~g~ stir u-f D~~ds
Adarn~ Cot,nty
H,~sr ng~, NE 6Q9t~1
This notice teas prepared and signed ac
ST PyUL. NN
(n~ Qp~JOG3i GQnG3Qp,
~l~[oC7Q~Ge7G~
'an this,
15th ~~'a-iu~~ry 4 0 is 8
the -_~.~- day of _------- --------- ------
Signature '~ //~~ ~~ ~ Tile
H, >~i-r~`c'~u'.~k' RETJENUE 0~'FICER ~4-i3-233?
for ~:xiY PCINTE (308} 384-~~85t?
(,Nf7T1Er r_ertiticate cf offirar authorized by ia'm io cake acknmNiedgrnent is nog: essential to the validity of Notice of Fr:deral Tax Tier,
r7av. Rut. ?1-4"ef, t n'71 - 2 C.S_ 4C9i Form Eb8(Y)(c) (Nev. 2-20GkLi
Film 1 - KEpc gy lfi;erordeng IQffce~. - 'CAfi. fJt] :ic;025X '~-
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