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06/21/2001 16:52 FAX 14024714429 NEBRASKA UCC 1x004/004 <br />b� <br />log <br />1 1111 {I Illlf 11111 IIIII {1111 IIIII {ill {III' <br />Forst 668 (Y)(c) <br />IRev. October 2000) <br />Dopartment of the Treasury - Internal Revenue 1 9901150997 cos n <br />HRGOOD LIPDELL M II <br />Notice of Federal Tax Lien Filed C6121/2 ___02.47 02.47 an_ <br />Area: Serial Number For Optional Use by Recording O Lice <br />SMALL BUSINESS /SELF EMPLOYED )AREA #9 <br />Lien Unit Phone: (800) 629 -3903 1 390147789 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that tuxes (including Interest and penalties) <br />have been assessed against the folkiiwing -named taxpayer. We have made <br />a demand for payment of this liability, but It remains unpaid. Therefore, <br />there Is a lien io favor of the United States on al 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 LINDELL M HAGOOD I I <br />Residence 823 W 11TH <br />GRAND ISLAND, NE 68801 -4011 <br />200106170 <br />TANT RELEASE INFORMATION: For each assessment listed below, <br />tice of the lien is refiled by the date given in column (e), this notice shall, <br />E <br />ay following such date, opeate es a certificate of release as defined <br />325ia). <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 />Refilling <br />of Assessment <br />a <br />b <br />c <br />(d ) <br />1040 <br />12/31/1997 <br />505 -72 -1380 <br />06/08/1998 <br />07/08/2008 <br />5654.90 <br />1040 <br />12/31/1998 <br />505 -72 -1380 <br />08/30/1999 <br />09/29/2009 <br />4520.61 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Hall POBOX 1692 <br />10175.51 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI , on this, <br />the 15th day of June 2001 <br />Signature Title <br />ACS 39 -01 -0008 <br />for J GALLAGH (800) 829 -3903 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -466. 1971 - 2 C.B. 409) Form 66e(Y)(e) Isev. 10-00) <br />Put 1 - Kept By Recordbeg Office CAT. NO 60025x <br />