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09/21!2000 15:42 FAX 140247144 109 Form 668 (Y)(c) (Rev. August 1997) District 9 NEBRASKA UCC 2003/003 IM 111111 ucc lilt Department of the Treasury - internal Revenue Ser, 990 @@8439 P 5 P'32: : 1 4gN4ygRp7 gR7hUR R Notice of Federal Tax Lien Filed. 09121I2ODU 9124 PM Serial Number For Optional Use b Recording Office MIDWEST I — 39003 . 8676 As 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 a demand for payment of this liability, but it remains unpaid. Therefore, there is a lien in favor of the United for States amount property and ttaxes tend property belonging to this taxpayer additional penalties, interest, and costs that may accrue. Name of Taxpayer ARTHUR R LANGVARDT & TERESA LUTHER Residence 43 SONJA DR DONIPHAN, NE 68832 -9775 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the lien is refiled 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). Tax Period Date of Last Day for Kind of Tax Ending Identifying Number Assessment Refilling 1040 12/31/1998 511 -44 -0794 11/22/19991 12/22/2009 Place of Filing Register of Deeds Hall POBOX 1692 Grand Island, NE 68802 -1692 This notice was prepared and signed at MILWAUKEE, WI the 14th day of September 2000 Signature for JEFFREY D. EPPLER Total 1$ Title ACS 39 -01 -0008 (B00) 829 -3903 20000 7'7 85 unpaid Balance of Assessment 7206.19 7206.19 , on this, (NOTS: Certificate of officer authorized by law to take acknowledgment is not essential to the vauaty or rvouce v1 re.,o. o, Rev. Rul. 71 -466. 1971 • 2 C.13- 409) Form 666(Y)(c) (Rev. 8 -97) Part 1 - Kept By Recording Office CAT. Na 60025X