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COMPARE:~~,
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ADAMS COUNTY, NE
FILED
INST. NO.
Date -~ Time.:~,~
REGISTER OF DEEDS
RESERVED FOR REGISTER'OF DEEDS RECORDING SPACE
ADAMS COUNTY NE
PAGE 1 OF ~ PAGES
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031'19; ~r08 FRI 1:~: ...< ~?X 4iJ': 4;!. 44~° UC^ ~EC;t:c:Ty:?Y n STr1TE _..._.
G _ :~.da n::3
{Rev. PrbtU:~ty ZOQ4)
I~fr;~artTtarlt of zl~~e Treasury - internai Rave3~~lr; Sor:~ice
t~at~~:~ a~f Federal Tax ~.~~~
Area: --__,_____.._.~,.~_.~.T_eri~,l Nurnher _.._.
5A7ALL SUSI:~^1b:SS/SELL:' G:Q~ ,,~.}Y>/'D i~REA '~4
i..ien Linit Phone: (Sd01 A2:~-a5i?3 c
_-- _ _ __ 425~16B..CB
fas provided 6ryr secdan 63.~'i, 632c, and 4323 of t;°~e InFernai Ite4~e~re
bode, we are giving a notdce that talxes (iraciuding interest and ipenaities)
have been assessed against the fd[[owing-narraed taxpay~atr. We have made
a demand [ar paylraiwnt of this i'iabiGty, bnt it remains >anpaid. Therefore,
eitere is a 9ien in favor of the United States on aii p~uperty and rights to
property beionging to ti~ia taxpayer for the amotirnt 4f these taxes, and
addetionai pHraaities, int~eres~:, a:td casts chat mar arxrue.
Pdame of Taxpayer IfI,`Vlxd R 5~.:-iS- _____ -`-'~"
Residence 1:322 yT 6,~fY ~.~
HASTINGU~, NE 6$901-4~32C
+r:HIl~PGO, IL
iMPORT~WT' it.~LEASE t11sF+~r~~I.~4.'Y'3(91+6• For each assF: sment listed belo~l
,
unle<;s notice o€ the lien is reflied oy •,hc: date ~i~~en in ~~oiumn (e}, this nr~tice shalt,
on the day fnJlc~wing such lake, apura.t; as a certificata ~t rf:laase as riafinnd
in IFiC 6325;a).
Kind of Tax Tax Period
Ending
identifying iwdumiser Date of
Assessment Last >)ayjr for
Refiiing
(a) (b) {c) (d) (e)
x0~o
1z/:,1,~, ooa
XY:X-~X-9181-~is~
i2/i.o/zooa~ _
of/o=~/zc t.z
1040 1~/31f~001 XXH-XX-J1£~1 07/24/2006 C: F3/L3f?0~
6
1~J40 12/~ 1/200^ ~ K:X.~:_X~-9131 ~07; ~ 4/2006 .
~ 08 / x:3/2016
Ptace of f=iling
Register of l~eei:5
Adams County
H.ast.ingt~, NE 6890"_
This nrtice was prepared and si~ried ai
ilnpaid Baiauce
On AiSeSSnt+~nt
For
NE sae ~ s:fi~a JMn a Oa is - U[c F:L
~ ~ I~
~.
I.i~l il~ ~ I
s~8v6:~a£t'6 Pas: 1
cA58 KE1'T!V P.
FS led: e~31;4/~W03 i2 54 Pf1
Tptcll
~J063r'103
tU3U
~aa.t~
39466.21
4983 . 7t3
44$5?..19
the 1.13th day. of k'ebz't1:~r~~ 2008
ran tfris;
SlgnafuiP ! ~/ h~, !' ~:•r~Cdl..~ L'(~ _!-itlc%
iox' RFrII3A C7G~7};'P3S {800) 92:.9-90j
(NOTEa Cert~fica±e of officer :autr,c~~~ieci by taw >.c t;+4c: acknoovledgment is trot essertiai kc the validity c. Nulice cf Fe~.{eraf Tar; lit;•n
Rev. Hul. ','i -466, 1971 - 2 C.B. 409) Form tS56(Y)Qtj tftav. 2-?..G'441,r~
pert ! - !K~tBy Retarding 4fficx CA?. NO 6o025x
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