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09/29/2000 12:40 FAX 14024714429 NEBRASKA UCC 109 Department of the Treasury - Internal Revenue Form 668 (Y)(c) notice of Federal Tax Lien !Rev. August 19971 District Serial Number For MIDWEST 1 390039710 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 its a lien in favor of the United States on aft 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 EUGENE R HOERLE Residence 1414 ST PAUL RD 83 GRAND ISLAND, NE 68801 -2484 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 6325fa). Tax Period Date of Last Day for Kind of Tax Ending Identifying Number Assessment Refilling (a) I (b) c d e 1x003 /004 11111111111111{11 ME 1111111111 1111 IN 9900086548 p9s t HOERLE EUGENE R Fil.d. 0912912000 09 11 nM rtlonal Use by Recording Office 1040 112/32/1997 50B -94 -4117 106/08/1998 07/08/2008 1040 12/31/1998 508 -94 -4117 08/09/1999 09/08/2009 200008081 Unpaid Balance of Assessment 1935.35 3811.80 Place of Filing Register of Deeds Total $ Hall POBOX 1692 5747.15 Grand Island, NE 68802 -1692 This notice was prepared and signed at the 22nd day of September, 2000 MILWAUKEE, WI Signature I ,4 / Title ACS 39 -01 -0008 for �R CY( � :. >aP'�, �,r,- (800) 829 -3903 , on this, (NOTE: Certificate of officer authorized by law to take acknowledgment is not easentiel to the validity of Notice of federal Tax lien Rev. Rul. 71 -468, 1971 - 2 C.B. 409) Form 666(Y)(c) (Rev. 8 -97) Part 1 - Kept by Recording Office CAT. NO 60025X