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o�_ <br />11'22/2000 13:59 FAX 14024714429 NEBRASKA UCC <br />003 <br />109 111111111111111111111111111111111111111 <br />Department of the Treasury - Internal Revenue 5 9900098177 Pes t <br />Form 668 (Y)(c) FAi:a"ptMATTHEW a > > : os AM <br />Notice of Federal Tax Lien <br />Mov. October 2000) <br />Area: <br />Serial Number <br />For Optional Use by Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (414) 297 -3211 <br />390040927 <br />200010213 <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 Ben 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 MATTHEW F & LAURA L GALUSHA <br />Residence 555 E 18TH ST <br />GRAND ISLAND, NE 68801 -2401 <br />NT RELEASE INFORMATION: For each assessment listed below, <br />IMPORTANT <br />of the lien is refiled by the date given in column (e), this notice shall, <br />Et3he <br />ollowing such date, operate as a c ertificate of release as defined <br />(a) . <br />Tax Period . <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Ref ling <br />of Assessment <br />a <br />b <br />c <br />(d) <br />a <br />f) <br />1040 <br />12/31/1988 <br />541 -82 -5438 <br />05/06/1991 <br />06/05/2001 <br />1679.57 <br />1040 <br />12/31/1989 <br />541 -82 -5438 <br />04/22/1991 <br />05/22/2001 <br />1026.74 <br />1040 <br />12/31/1990 <br />541 -82 -5438 <br />05/06/1991 <br />06/05/2001 <br />1126.59 <br />1040 <br />12/31/1993 <br />541 -82 -5438 <br />03/04/1996 <br />04/03/2006 <br />1221.40 <br />1040 <br />12/31/1994 <br />541 -82 -5438 <br />05/29/1995 <br />06/28/2005 <br />1040 <br />12/31/1994 <br />541 -82 -5438 <br />03/04/1996 <br />04/03/2006 <br />3090.04 <br />1040 <br />12/31/1998 <br />541 -82 -5438 <br />09/27/1999 <br />10/27/2009 <br />4558.14 <br />Place of Filing <br />Register of Deeds Total <br />S <br />Hall POBOX 1692 <br />12702.48 <br />Grand.Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI <br />the 15th day of November 2000 <br />, on this, <br />Signature I ;!;'_'_ Title <br />Revenue Officer 39 -01 -2341 <br />for A �"� (308) 385 -6548 <br />(NOTE: rtificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien �r <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 10.00) <br />Part 1 -Kept By Recording Office CAT. NO 60025X <br />