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A. <br />10/11/2000 16:04 FAX 14024714429 <br />109 <br />Form 668 (Y)(c) <br />IRev. October 2000 <br />NEBRASKA UCC <br />Department of the Treasury - Internal Revenue <br />Notice of Federal Tax Lien <br />f 003/004 <br />FTI <br />! Illllf VIII lull VIII lll�l 111111 <br />99000$8920 p9s .l <br />PANOWICZ MICHAEL P. <br />1`110d: (0/11/2000 02.24 PM <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA 49 <br />Serial Number <br />For Optional Use by Recording Office <br />Ulan Unit Phone: (e00) 829 -3903 <br />390040129 <br />As provided by section 6321, 6322, and 6321 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the following <br />r� <br />- named taxpayer. We have made <br />V <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there is a lien In favor of the United States on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer MICHAEL A PANCWIC2 <br />Residence 10288 W WHITE CLOUD RD <br />CAIRO, NE 68824 -9760 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refilled by the date given in column (e), this notice shall, <br />on the day following such, date, operate as a certificate of release as defined <br />in IBC 6325 (a). <br />Kind of Tax <br />Tax Period <br />Ending <br />Idendfjring Number <br />Date of <br />Assessment <br />Last Day for <br />Reuling <br />unpaid Balance <br />of Assessment <br />e <br />b <br />c <br />d <br />e <br />f) <br />2290 <br />07/01/1998 <br />47- 0611118 <br />10/19/1998 <br />11/18/2008 <br />451.81 <br />943 <br />12/31/1999 <br />47- 0611118 <br />03/13/2000 <br />04/12/2010 <br />7424.08 <br />Place of Filing <br />Register of Deeds <br />Hall POBCX 1692 Total <br />$ <br />7875.89 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 03rd day of October 2000 <br />MILWAUKEE, WI <br />, on this, <br />Signature Title <br />u ..:_...,.....:, ;T ACS 39 -01 -0008 <br />for•JEFFREY D. EPPLER (800) 829 -3903 0 <br />(NOTE: 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. 409) Form 668(Y)(C) (Rev. 10 -00)1. <br />Part 1 -Kept By Recording d(Rca CAT. NO 60025X <br />