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h, <br />09/29/2000 12:39 FAX 14024714429 NEBRASKA UCC Z002/004 <br />200008080 <br />of S4.h. - UCC FTL <br />109 Department of the Treasury - Internal Revenue <br />Form 668 (Y)(c) 99P1fd086546 Pigs. 1 1 <br />1Rev. August 19971 Notice of Federal Tax Lien LOPEZ LOPEZ J CABRERP <br />rile0 09/29/2000 09.11 AM <br />District Serial Number For Optional Use by Recording Office <br />MIDWEST 390039692 <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 llabiiity, 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 LOPEZ J CABRERA LOPEZ <br />Residence 615 N PINE <br />GRAND ISLAND, NE 68801 -4340 <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 6325(a). <br />Tax Period Date of Last Daly for unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Retihng of Assessment <br />a b (c ) (d e (f <br />1040 12/31/1996 508 -33 -3735 05/17/1999 06/16/2009 6626.48 <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 />68802 -1692 <br />the 22nd day of September 2000 <br />MILWAUKEE, WI <br />Total I $ <br />Signature Title ACS 39 -01 -0000 <br />f F (800) 829 -7650 <br />6626.48 <br />, on this, <br />(NOTE: Certificate of officer authorized by law to take acknowledgmert is not essential to the validity of Notice of Federal Tax tier C d <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668(Y)(e) (Rev. 8 -97) r <br />Part I - Kept By Racarding Office CAT. NO 60026X i <br />