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04,12/2001 15:29 FAX 14024714429 NEBRASKA UCC 109-- 0 9 1 Department of the Treasury - Internal Revenu Form 666 (Y)(c) Notice of Federal Tax Lien (Rev. October 20001 Area: Serial Number For WAGE & INVESTMENT AREA #5 390144071 Lien Unit Phone: (900) 829 -7650 As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice that taxes (including Interest and penalties) have been assessed against the following -named taxpayer. We have made 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 JESUS VILLA NAVA Residence 412 E 13TH GRAND ISLAND, NE 68801 -3640 Z002/003 NE S.0 of St.l. - UCC FrL 11111111 1111111111111111111111111111111 99011182840 peg. 1 NAVA JESUS VILLA riled; 04/12/2001 02.37 PM IMPORTAMT RELEASE INFORMATION; For each assessment listed below, unless notice of the lien is reflied by the date given in column (a), this notice shall, on the day following such date, operate as a certificate of release as defined in IRC 6325(x). Tax Period Date of Last Day for Kind of Tax Ending Identifying Number Assessment Refing (a b is d e 1040 12/31/1995 506 -23 -0561 08/31/1998 09/30/2008 Place of Filing Register of Deeds Hall POBOX 1692 Grand Island, NE 68802 -1692 This notice was prepared and signed at MILWAUKEE, WI the 07' 'h day of April 2001 Signature -t ACS Use 20MU96 Total 1$ Unpaid Balance of Assessment 3586.62 3586.62 , on this, 39 -01 -0000 for J D EPPLER 1 (800) 829 -7650 S (MOTs: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tex lien Rev. Rul. 71 -466, 1971 - 2 C.g_ 409) Form 668(Y)(c) (Rev. 10 -00)� Part 1 - Kept by Recordleg Office CAT. NO 60026X