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06/20/2001 10:29 FAX 14024714429 <br />NEBRASKA UCC <br />002!002 <br />This notice was prepared and signed at <br />the 08th day of June 2001 <br />MILWAUKEE, WI <br />, on this, <br />Signature Title <br />Revenue Officer 39 -01 -1219 <br />for GARY �,�• (402) 221 -3494 <br />(NOTE: Certificate of officer authorized by taw to take acknowledgment is not essential to tfio validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 4091 Form 668(Y)(c) (Rev. 10 -00i <br />Part 1 • Kept By AaordlnQ Office CAT. NO 60025X <br />15747 <br />Department of the Treasury - Internal Revenu il� {f <br />g�9el�' I{ <br />Form 668 (r)(c) <br />50illl Per: <br />ECLe DANIEL R <br />Notice of Federal Tax Lien <br />fRay. October 20001 <br />Filed 06 06119 i9l20o1 04:17 7 P Cf__ J <br />Area: <br />Serial Number <br />For Optional Use by Recording office <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (414) 297 -3211 <br />390147491 <br />As provided by section 6321, 632.2, 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 11`61114)wing -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 Unitad States on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />200105955 <br />additional penalties, interest, and costs that may aarue. <br />Name of Taxpayer DANIEL R & JEANNE C ECLOV <br />Residence 2712 STEWART DRIVE <br />GRAND ISLAND, NE 68801 <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 Day for <br />Unpaid 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) <br />1040 <br />12/31/1994 <br />379 -60 -5247 <br />02/15/1999 <br />03/17/2009 <br />1818.12 <br />1040 <br />12/31/1995 <br />379 -60 -5247 <br />03/01/1999 <br />03/31/2009 <br />14966.82 <br />1040 <br />12/31/1996 <br />379 -60 -5247 <br />03/01/1999 <br />03/31/2009 <br />13490.67 <br />1040 <br />12/31/1997 <br />379 -60 -5247 <br />01/04/1999 <br />02/03/2009 <br />4624.33 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Hall POBOX 1692 <br />34899.94 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 08th day of June 2001 <br />MILWAUKEE, WI <br />, on this, <br />Signature Title <br />Revenue Officer 39 -01 -1219 <br />for GARY �,�• (402) 221 -3494 <br />(NOTE: Certificate of officer authorized by taw to take acknowledgment is not essential to tfio validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 4091 Form 668(Y)(c) (Rev. 10 -00i <br />Part 1 • Kept By AaordlnQ Office CAT. NO 60025X <br />