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10/11 /2000 16:04 FAX 14024714429 NEBRASKA UCC <br />o� <br />12004/004 <br />iiim <br />109 ! Ililll <br />Iilll IIII! II!!i IIIII lilll II <br />Department of the Treasury - Internal Revenue E 9900088919 Pgs I <br />Form 668 (Y)(e) Filed AMS�DANIEL 2000 U2 24 PM <br />Notice of Federal Tax Lien <br />Ittev. October 20001 <br />Area: <br />Serial Number <br />For Optional Use by Recording Office <br />WAGE & INVESTMENT AREA #5 <br />Lien Unit Phone: (800) 829 -7650 <br />390040112 <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 DANIEL J WILLIAMS <br />Residence PO BOX 611 <br />GRAND ISLAND, NE 68802 -0611 <br />TANT RELEASE INFORMATION: For each assessment listed below, <br />tice of the lien is refiled by the date given in column (e), this notice shall, <br />E <br />ay following such date, operate as a certificate of release as defined <br />325(8). <br />Tax Period <br />Date of <br />Last Da for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />a <br />b <br />c) <br />(d ) <br />(e <br />f <br />1040 <br />12/31/1995 <br />472 -11 -9914 <br />03/22/1999 <br />04/21/2009 <br />4227.32 <br />1040 <br />12/31/1996 <br />472 -11 -9914 <br />12/27/1999 <br />01/26/2010 <br />2362.66 <br />1040 <br />12/31/1997 <br />472 -11 -9914 <br />12/27/1999 <br />01/26/2010 <br />842.36 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Hall POBOX 1692 <br />7432.34 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 03rd day of October <br />Signature <br />2000 <br />MILWAUKEE, WI <br />Title <br />ACS <br />for JEFFREY D. EPPLER (800) 829 -7650 <br />, on this, <br />39 -01 -0000 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien N <br />Rev. Rul. 71-465.1971 - 2 C.B. 409) U <br />AT <br />Form 668( <br />Part t - Kope By Recording Office CAT (Rev. 10 -0 <br />C. NO 60025X X <br />