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09iL2/2000 08:40 FAX 14024714429 NEBRASKA UCC 0 005!005 u"f 111111II11�1lllll� Form 668 (Y)(c) 59 09 Department of the Treasury - Internal Revenue rjf1 e00aze7s ✓llll11111fill �1� (Pev. August 1897) Notice of Federal Tax Lien SHUT TER JOHN Gg, FIed: 09/11120ap 03,34 pM District Serial Number , For optional Use by Recordirg Office MIDWEST 390038271 14 provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice that taxes (including interest and penalties) have been assessed against the following -named taxpayer. We have made 200007513 �. a demand for payment of this liability, but it remains unpaid. Therefore, there is a Hen in favor of the United States on all Property and rights to property belonging to this taxpayer for the amount of these taxes, and additional penalties, interest, and costs that may accrue. Name of Taxpayer JOI�1 A SACJTTER Residence 715 W ANNA GRAND ISLAND, NE 68801 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the lien is refilad by the date given in column {e), this notice shall, on the day following such date, operate as a certificate of release as defined in IRC 6325 {a),, Kind of Tax Tax Period En b) g Identifying Number Date of Assessment Last Dayy for Refilfn Unpaid Balance a c d 9 of Assessment 1040 12/31/1999 5D5 -82 -5679 05/29/2000 06/28/2010 f 916.79 Place of Filing Register of Deeds Hall POBOX 1692 Total $ _ Grand Island, NE 66802 -1692 918.79 Tnis notice was prepared and signed at MILWAUKEE, WI the � 6th day of September, 2000 Signature for PO E (NOTE: Certificate of o icer authonz Rev. Rul. 71 -466, 1971 • 2 C.B. 409), , on this, Title Revenue Officer 39 -01 -2337 (308) 385 -6548 law t take acknowledgment is not essential to the validity of Notice of Federal Tax lien Part 1 - Kept By Recording Office Form 669(Y)(c) (Rev. 8 97) CAT. NO 60025X.