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~ ~~ -DOCT.aJC~ ' pD~~- ' ADAMS COUNTY, N~E ~
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RETIIIilY
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. ~~~~~ ~. Qy y~a~o -~~qS ~M. REGISTER OF DEEDS
R.D COMP:_X „Z=S1
COMPARE:_ d,i•al
CADAS: --- AO /
RESERVED FOR REGISTER OF DEEDS RECORDING SPACE
ADAMS COUNTY NE
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lD!U5%i0~8 THU 14;2"1 F~,X 4U2 471 44Z9 ~CC 6EC~ETARY pP STATE ~; .
~ ~ ~~rns :~ ~'418 8
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~orm b6B ~~partrnen~t of the Treast+ry - Inierrts; Revenue Service .
('n(r}
fRev. Febrt+ary 2004) ~~ffi~~'~ ~~' ~~a~@~~~ "~`~r '~~~~
pr~~~ ~~ Seriei N~im~er For ~ptiuna( l:se by R~cording Q{f{ce
SMAI~L }3tJSTNESB/S~Z,F EI+:~L~~'ED A~EA #~
Lien Unit Phone: (84Q1 313-6050 47825590$
~s prov~ded by secti~~ 632 i, 6322. attd 6323 of the t~atiernal R~v~nue
C~~, ~~ ar~ ~~g ~ nntite th~t ta~r~s ~ineluditag ia~terest and p+e~a~ties) NE Sae ef iiai+ Jahn R Gala . tDCC FT~
have beer~ a~sesse~ ag~~t the f~Y[our~ng•n~mea~ da~ay~zr. 1Ne have made
~ ~
a de~and far p~ayuee~t of th~s ~iab~l~tg-~ but it remains c~~sp~i~l. 'i'herefnre,
ghere ix a~ien in favar of t~s+e ~Init~c~ States an ait pro~err~ and rights to
~roperty betangi~ig to th'rs ~axpay~r far the a~rsounC off iPnes~ tax~s, anet
adcdit~onal penal~ies, pmterest, ~~d r,~,sts that may accroY~. ~sess~~e~a-a Pes: ~
DEVI7"f MICHt~L D
Name ot Taxpaver MI~I-i~igr~ n T'1~!T.77*T~T Fi1ed: 10l09/2808 01:5? PM
Resic~ence 735 N' BRI~G~ A~rE
:~IZ~S'~'T;~~S, ~vTr~ 5£~9L~1-4~19
IMPOftTAt~[[7' ItELEA;~~ 1'lVFC3~I~A~'iO~I; For each assessment iisted below, .
unfass notice of the Ifen is r~fi6ed by the date give~i :n colurnn (e), this notice shall,
on the day foliowing sur.h date, operaie ~s a cer,ifica€e of reiease as defined
in IRC 6325{a;.
Tax i~eriocl tfate of Last Day fc~r u~apa'sd ~atar9~E
Kind of Tax ~ndin~ ~de~Cifyir~ Nura~er ~ As~~ssmertt R~fiicsg of ~4ssess~axent
r~i f~,~ , - - --
zo~o
104~ ~a/3~/~oao
12/31/2004 x:~=Xx-~6~2
X ~~/~.~/aoos n~/~.s/aoas ~~~
1040
12j3:./2C~OS ~S-XX•-9657
Y.XX_XX_9657 ~73/17/20~8
Q3/~7/2448 04/lE/2428
04f16/201 28~52.~3
8 49189.fl3
Place of Filing
Re~is~E~r nf D~eds
A3ams CounLy 'Tfltal $ 8:~395.16
~astings, NE 589Q1
This notice was prepared and sig~7e~ at CHTCAGO, IL
the _ 3 Uth day of Se~ ~e~c.~~ 2008
, on this,
~
Signa~uE~e ~ ,~,~. ~~"~.~.,~ Titie
R3VENUE OFF3CRR 24-~~-2339
for KAY PONTE (~08} 384-~550
~~r ~a•• «~uRC ac:~~v,:+Gayment is not essentia~ to the validity ot hotice af Federal Tax lien
Rev. ftul. 71-4Bfi, 1971 - 2 C.r7, 4~'9} ~
g~~ ~. Fcrm 1i68(1~(t} tRev, 2-20G4~
~t ~ ~Q~ing ~~e CAT. NO 80025X
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