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09/29/2000 12:40 FAX 14024714429 NEBRASKA UCC 200008082 is 004 /004 <br />C�,s,�V re s or si,r _ ucc FTL <br />109 Department of the Treasury - Internal Revenue 5 II, +� If 1111 IN <br />!Porn 668 (Y)(c) Notice of Federal Tax Lien LOPES OSCAR R OELEON P9S ' <br />IRay. August 19971 F, lid 09/25!2000 09 17 Afl <br />District Serial Number For Oprtional We by Recording Office <br />MIDWEST 390039761 <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 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 OSCAR A DELEON LOPES <br />Residence 512 W 65TH ST <br />GRAND ISLAND, NE 68801 <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 />Q the day following such date, operate as a certificate of release as defined <br />In IRC 6325(a). <br />Tax Period Date of Last Dayy for <br />Kind of Tax Ending Idendfying Number Assessment Reflling <br />1040 112/31/19961 613 -78 -2243 111/08/19991 12/08/2009 <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 J$ <br />Unpaid Balance <br />of Assessment <br />8158.30 <br />8158.30 <br />, on this, <br />Signature y / Title ACS 39 -01 -0000 <br />ford F Y I3` ^EPPIjB (800) 829 -7650 <br />(MOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -466. 1971 • 2 C.B. 4091 1. <br />Form 669( <br />Part t - Kept By Recording Offi CAT <br />ce AT (Rev. <br />C. NO 60025025 <br />X. �ti <br />