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./16/2001 17:48 FAX 14024714429 NEBRASKA UCC <br />[a 006/008 <br />109 Ni foe er sisl■ Utt f ?� <br />Department of the Treasury - Internal Reve� <br />Form 666 (Y)(c) • 11111111111111111111111111111111111 11111 <br />(Rev. octob,r 20001 Notice of Federal Tax Llei 9903 125390 ppf, 1 <br />MEITENBRIW THOMAS P _. <br />Filed: 03116/2001 03:13 PM <br />Area: Serial Number - - -- -• - -- - °'n _ -- <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (800) 829 -3903 390143154 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including Interest and penalties) <br />have been assessed against the following -named taxpayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there is a lien in favor of the United States on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, Interest,, and costs that may accrue. <br />Name of Taxpayer THOMAS P & KAREN A METTENBRINK <br />Residence 1324 WN FRONT ST <br />GRAND ISLAND, NE 68801 <br />200102144 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />Tax Period <br />Date of <br />Last Dayy for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Reining <br />of Assessment <br />a <br />b <br />(c) <br />d <br />e <br />f <br />1040 <br />12/31/1996 <br />506 -64 -3732 <br />08/31/1998 <br />09/30/2008 <br />2493.85 <br />1040 <br />12/31/1998 <br />506 -64 -3732 <br />10/D4/1999 <br />11/03/2009 <br />21560.68 <br />1040 <br />12/31/1999 <br />506 -64 -3732 <br />06/26/2000 <br />07/26/2010 <br />12881.40 <br />Place of Filing <br />Register of Deeds Total $ <br />Hall POBOX 1692 36935.97 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI , on this, <br />the 09th day of March 2001 <br />Signature Title <br />ACS 39 -01 -0008 <br />for J AL, 1 (800) 829 -3903 <br />(NOTE: Certificate of officer authorized by taw to take acknowledgment is not essential to the validity or Notice of Federal Tax lien <br />Rev. Rul. 71-466,1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 10 -00) <br />Part 1 -Kept By Recording Office CAT. NO 60025X <br />