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_ 10/27;2000 12:04 FAX 14024714429 <br />NEBRASKA UCC <br />Q002/002 <br />0- 1- 09 1 111111 Illi11lll! 1111111111 I {lil it <br />Department of the Treasury - Internal Revenue Ser 9900092485 Pgs. <br />Form 668 (Y)(c) LOPEZ JULIO <br />(Rev. October 2000) <br />Notice of Federal Tax Lien Fi I&o 10x2712000 ,0:39 AM <br />Area: Serial Number For Optional Use by Recording Office <br />WAGE & INVESTMENT AREA #5 <br />Lien Unit Phone: (800) 929 -7650 390040455 <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) c <br />have been assessed against the following -named taxpayer. We have made :J <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 JULIO LOPEZ <br />Residence 324 W 6TH ST APT 1 <br />GRAND ISLAND, NE 68801 -4511 <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 63251al. <br />Tax Period Date of Last Dayy for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refiling of Assessment <br />a b c (d (e) f) <br />1040 12/31/1996 035 -64 -9746 03/29/1999 04/28/2009 10670.65 <br />1040 12/31/1997 035 -64 -9746 06/05/2000 07/05/2010 4820.33 <br />Place of Filing <br />Register of Deeds Total $ <br />Hall POBOX 1692 15491.18 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI <br />the 21St day of October 2000 <br />, on this, <br />Signature ,�j► �_ - ACS <br />39 -01 -0000 fo arv"'r) -'APPLti <br />(800) 829 -7650 <br />(NOTE eroficate of office YeuthoriZed liy law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. RuI. 71 -468, 1971 - 2 C.B. 4091 <br />Part 1 - Kept By Recording Office Form 668(Y)tc) (Rev. 10 -001 <br />CAT. NO 60025X <br />r% <br />111 <br />This notice was prepared and signed at MILWAUKEE, WI <br />the 21St day of October 2000 <br />, on this, <br />Signature ,�j► �_ - ACS <br />39 -01 -0000 fo arv"'r) -'APPLti <br />(800) 829 -7650 <br />(NOTE eroficate of office YeuthoriZed liy law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. RuI. 71 -468, 1971 - 2 C.B. 4091 <br />Part 1 - Kept By Recording Office Form 668(Y)tc) (Rev. 10 -001 <br />CAT. NO 60025X <br />r% <br />111 <br />