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04,J18/2001 09:48 FAX 14024714429 NEBRASKA UCC <br />[a 002/003 <br />S4 <br />109 MINN11111111111 of s4.{. 11`l1«411111l1 Department of the Treasury - Internal Revenue <br />Form 668 120001 Notice of Federal Tax Lien 9901134313 Pss ' <br />(Rev. October 2000! MOBERG QONAi.O u <br />Filad. .41161.2001 0906 PM <br />S • I N 17 r For Uptional Use by Recording Office <br />Area. erla um e <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (800) 829 -3903 390144195 <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) 200103397 <br />have been assessed against the following -named taxpayer. We have nude <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there Is a lion 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 DONALD W & SANDY M MOBERG <br />Residence PO BOX 278 <br />ALDA, NE 68810 -0278 <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 />Place of Filing <br />Register of Deeds Total $ <br />Hall POBOX 1692 46128.40 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, W1 , on this, <br />the 12th day of April 2001 - <br />Signature Title <br />ACS 39 -01 -0008 <br />for J GALLAG_ (800) 829 -3903 <br />(NOTE: Certificate of offcer au oriz <br />Rev. Rul. 71-466,1971 - 2 C.B. 409) <br />t.la o—fa7a--a&cwledgrnent is not essential to the validity of Notice of Federal Tax lien <br />Part 2 - Internal CAT . N O o 80025 X X Rewnue Savice TDA Copy Form 668( i 1G-00) I" <br />CAT <br />Tax Period <br />Date of <br />Last Day for <br />t]npaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />a <br />b <br />(c <br />d} <br />e <br />f j <br />1040 <br />12/31/1998 <br />482 -64 -0324 <br />09/20/1999 <br />10/20/2009 <br />2156.60 <br />1040 <br />12/31/1999 <br />482 -64 -0324 <br />03/27/2000 <br />04/26/2010 <br />24611,80 <br />Place of Filing <br />Register of Deeds Total $ <br />Hall POBOX 1692 46128.40 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, W1 , on this, <br />the 12th day of April 2001 - <br />Signature Title <br />ACS 39 -01 -0008 <br />for J GALLAG_ (800) 829 -3903 <br />(NOTE: Certificate of offcer au oriz <br />Rev. Rul. 71-466,1971 - 2 C.B. 409) <br />t.la o—fa7a--a&cwledgrnent is not essential to the validity of Notice of Federal Tax lien <br />Part 2 - Internal CAT . N O o 80025 X X Rewnue Savice TDA Copy Form 668( i 1G-00) I" <br />CAT <br />