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_07106/2001 16:52 FAX 14024714429 NEBRASKA UCC <br />109 ! <br />Department of the Treasury - Internal Revenue Sery <br />Form 668 (Y)(c) Notice of Federal Tax Lien <br />iRev. October z000l <br />Area: Serial Number For Opt <br />SMALL BUSINESS /SELF EMPLOYED }1REA #9 <br />Lien Unit Phone: (800) 829 -3903 39014BI78 <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 TROY A HANSEN <br />Place of Filing <br />103 E ASHTON, AVE <br />GRAND ISLAND, NE 66801 -7820 <br />Register of Deeds <br />Hall POBO;K 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI <br />• <br />the 30th day of June 2001 <br />1a002,'002 <br />UCC PTL <br />c: 1 <br />)01 03:44 PM <br />200106721 <br />Unpaid Balance <br />of Assessment <br />, on this, <br />Signature ACS <br />39- Q1 -Q008 <br />for J GALLAGHER (800) 829 -3903 <br />(NOTE: Certificate of officer 'euthor!zed by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -468, 1971 - 2 C.B. 4091 Form 666(Y)(e) {Rev, 10 -00) <br />Part I - Kept By Recording Office CAT, NO 60026X <br />