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09:05/2000 16:54 FAX 14024714429 NEBRASKA.UCC 003/003 <br />Department of the Treasury - Internal Revenue : I IIIII� I� I�II� i11ip l��l <br />10 9 DeP 9990080950 Pips, I <br />(Y)(0 Notice MARCOS C <br />Form 668 (Y)( <br />Notice of Federal Tax Lien Filed 09105/2000 03:16 PM <br />iRer. August 1997) <br />Serial Number <br />C istri ct For Optional Use by Recording Office <br />MIDWEST 390037848 <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 MARCOS 7 PEREZ 200007341 <br />Residence 324 W 6TH <br />GRAND ISLAND, NE 68801 -4511 <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 /Tease as defined <br />in IRC 63251a1• <br />Tax Period Date of Last D for Unpaid Balance <br />Kind of Tax Ending identifying Number Assessment ReA�g of Assessment <br />a b) (c d (e (f) <br />1040 12/31/1995 595 -47 -2500 11/23/1998 12/23/2008 2139.24 <br />1040 12/31/1996 595 -47 -2500 05/31/1999 06/30/2009 4288.23 <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 30th day of _ August <br />Signature <br />for I ax Len U <br />(NOTE: Certificate of officer authorized by law to tae acknowledgment is not essential to the validity °Form1661i(Y)(c) al(Rev `8 -97)' C <br />Rev, Rul. 71 -466, 1971 - 2 C.B. 4091 CAT. NO 60025X <br />Part 1 - Kept By Recording Office CAT. <br />Total. 1$ <br />68802 -1692 <br />2000 <br />MILWAUKEE, WI <br />Title ACS 39 -01 -0000 <br />(800) 829 -7650 <br />6427.47 <br />, on this, <br />