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09/01/2000 15:43 FAX 14024 <br />(J�- <br />109 <br />I °orrn 666 (Y)(0 <br />(Rev. August 1997) <br />District <br />9 _ NEBRASKA UCC 2 002;003 <br />Ij NE 5— aIIr S4.4. - UCC I{I FTLI <br />9900080370 Pgs 1 <br />Department of the Treasury - Internal Revenue Seri ORVIDSON RICHARD G <br />Notice of Federal Tax Lien F11ed 09101/2000 02 20 PM <br />Serial Number For Optional Use by Reccrding Office <br />MIDWEST 1 390037708 <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 RICHARD G DAVIDSON <br />Residence 2120 CHANTICLEER <br />GRAND ISLAND, NE 68801 -7618 <br />200007210 <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 6326(a). <br />Tax Period Date of Last Day for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refilling of Assessment <br />(a ) - (b c d e f) <br />1040 12/31/1996 496 -74 -1126 09/06/1999 10/06/2009 14738.42 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE <br />This notice was prepared and signed at <br />the 26th day of August <br />68802 -1692 <br />2000 <br />MILWAUKEE, Wi <br />Total Is 24738.52 <br />Signature I Title ACS 39 -01 -0000 <br />for JV� E (800) 829 -7650 <br />, on this, <br />(I NOTE-. Certificate of officer authorized by lave 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 668(Y)(e) lRev. 8 -97i r r <br />Part t - Kept By Recording Office CAT, No 60026X i- <br />