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Qj01 /17/2001 17:24 FAX 14024714429 NEBRASKA UCC Q002/003 ` HE 5..c 0 slob . UCC FTC 109 IIIIIIIIII�lllllilllililliillillllll !!il Department of the Treasury - Internal Revenue Form 668 (Y)(c) 9901109626 P95 Mom. Oeicbw 2000) Notice of Federal Tax Lien NOSSON EDNG R F, Led 01117/2001 12 54 P:1 Area: Serial Number For optional Use "cording office WAGE & INVESTMENT AREA #5 Lien Unit Phone. (800) 829 -7650 390141913 As provided by section 6321, 6322, and 6323 of the internal Revenue Code, we are giving a notice that taxes (including Interest and penalties) cc� �1 have been assessed against the following -named taxpayer. We have made 1G► 0 01 o t! 7 7 a demand for payment of this liability, but it remains unpaid. Therefore, there is a lien in favor of the United States on all property and rights to property belonging to this taxpayer for the amount of these taxes, and additional penalties, interest, and costs that may accrue. Name of Taxpayer EDNA R HOBSON Residence 1027 E BISMARK RD GRAND ISLAND, NE 68801 -8102 EIRC T RELEASE INFORMATION: For each assessment listed below, of the lien is refiled by the date given in column (el, this notice shall, ollowing such date, operate as a certificate of release as defined (a). Tax Period Date of Last Dayy for unpaid Balance Kind of Tax Ending Identifying Number Assessment Reflling of Assessment a b c d (e ) i) 1040 12/31/1997 513 -60 -5225 02/07/2000 03/09/201C 5224.02 Place of Filing Register of Deeds Total $ Hall POHOX 1692 5224.02 Grand Island, NE 68802 -1692 This notice was prepared and signed at MILWAUKEE, WI on this, the 11th day of January 2001 Signature / Title ACS 39-01-0000 for J 4PXLER ('800) 829 -7650 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of federal Tax lien ! Rev. Hui. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) {Rev, 10 -001 f(j�jU {1n Part f - Kept By Recording Office CAT, Re 80025X II Ji