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ADAMS COUNTY, NE
INST. N0. ~I~E~ 812+ ~- r~
Date 3-~~•08 Time ~Y-~03~'~I
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REGISTER OF DEEDS
RESERVED FOR REGISTER OF DEEDS RECORDING SPACE
ADAMS COUNTY NE
PAGE 1 OF ~ PAGES
03/27%2008 T[lU 1Fi: 3: ;'A:i ~U'Z ~~1 449 t7CC S,EC'F:~TAt'_' OP STATE ~~J Adams
2
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.\L ~ Department of the Treasury -Internal Revenue Service
rm 6b8 (1f)(c) ~o#ice of Federat Ta3c Lien
(laev. February 2004)
grer~; ~ Serial Number For
S[rLAliL 7/'t7ST_r3ES~•/t~eLE~' EI~IYIrCS"EJ AREA #~
Lien Unit Phone: t~uu) 829 _g>L+3 ~?9575008
rAs provided by section 632 i, 6322, and b3Z3 of the internal Revenue
Code, we are giving a notice tfsat taxes (including Mterest and penalties}
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but 'rt rrernains unpaid. Therefore,
there is a lien In favor of the United States on all property and rights to
property belonging. t;o this taxpayer for the amount of these saxes, and
additional penalties, illte.rest, and costs that Wray acaue.
Name of Torpayer NFAI, && Ll'T1ty CUIVI3ELL'y
Residence '712 SL'N~ET CIR
HASTINGS, NE 68901-2579
tlse br Rrcordina Office
NE Sac ai SSete doh R 6elr_ -~U:Cr FTl
i ~ ~n I f
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19908553863-5 X95:
COfdWELLY Y~ERL
rllad: td3/2Tf2~C09 03: SD pM
IMPORT/~NT I~LEA.SE INF~R1'r(~-Tl~1+I: Frr each assessment listed below,
unltss notice of the lien is refiled by ti-;e date given in column {e), this notice shall,
on the day following such dc.te, up$rate as a certificate of release as defined
in lRC 83251a1.
Tax I'eri~a Date of Last Dayy for Unpaid Balance
Kind of Tax Ending lcientifyirdg Number Assessment Rsfiling of Assessment
1040 i2f31(2005 ~sX-Xh-4x42 08/20/2007 09/19/2017 3054.98
1040 12/3:1./2006 XX~:-KX-452205/28/20.07 06 f 27/2017 ?6561.-! 8
Place of Filing
Register of T:,eeds
Ada.lns County Total $ 25626.'16
Hastings, TIE 6$901
CHI~AGU,
This notice vvas prP~.ared and sigllad at __-. _.~-_ .- --------_.-_- ~- -- , on t'itiS,
13th Parch 2008
the __ ---day of _--------- ----
r ~_..._....,
Signature ~/ ~. ~~~1~~- Title
I ACS 24-00-0006
for REGINA nWEi~S (800) 828-3903 _
(NOTE; Cr3rii#ic~te cf~:.4#icer uutho~ized by taw to take arknoavledgment is not esseniiai to the validity of Notice of Fadarai Tax Fier ,./~
Rev. Rul. 71-465, 197'1 • 7 C.6. 4091 ~ 'f ~~
Part ] - iKe t g Recordin OfRcp Form bb8(Y)(c) .Rev, 2-20G4'' 1~,
P Y S %" CE?T. h;G 600257: j
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