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09/12'201+ 08:40 FAX 14024714429 NEBRASKA UCC Z 004 /005 <br />1VR_ <br />11111 X09 Department of the Treasury - Internal Revenue 996ee82a7a pg9 lill <br />Form 6a ; (y) (C) PEREZ SANTIAGO <br />(Rev. Aupi t 1997) <br />Notice of Federal Tax Lien F 'led , 09/1112000 03 34 FM <br />District Serial Number <br />For Optional Use by Recording Office <br />MIDWEST 390038261 <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 alien 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 />Vame of Taxpayer SANTIAGO PERRZ <br />Residence 517 S LOCUST <br />GRAND ISLAND, NE 68801 -6709 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in cclumn (e), this notice shall, <br />on the day following such date, operate es a certificate of release as defined <br />in IRC 8325(a). <br />Kind of Tax <br />Tax Period Date of last Day for <br />Ending Identifying Number Assessment Raffling <br />a b c d e <br />1040 12/31/1996 613 -52 -6286 07/06/1998 08/05/2008 <br />1040 12/31/1997 613 -52 -6286 06/01/1998 07/01/2008 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 688C2 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI <br />the 06th day of September 2000 <br />_r <br />oiynawre <br />for <br />(NOT�ertific <br />Rev. Ru 1.46 <br />200007512 <br />Total 1$ <br />Unpaid Balance <br />of Assessment <br />3072.91 <br />2145.09 <br />5218.00 <br />, on th,s, <br />Title ACS 39 -01 -0000 <br />'PREY D. EPP ER (800) 829 -7650 4 <br />t to r w to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Part t - Kept By Retarding Office Form 668(Y)(c) (Rev, 8.97) <br />CAT. NO 60025X <br />