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W,17/2004 99:48 Fd3 14024744429 NEBRASKk CICC mnut <br />'lam c�C��OV�(o l <br />Form 668 (Y)(c) <br />Department of the T:essury Ircerne! Revenue Servbe <br />h =. - rooar,m9 <br />Notice of Federal Tax Lien <br />- - - -- <br />(i.��C''. <br />Alec; Serial Nember <br />:�:.G k. h't1Ebl'M.F.ti'P `lR' 45 <br />Forp r Zone 1 use nv 2ecorainp Greg <br />fen Unit Phone;'600) 81g -7659 eC3 <br />wlrYryIryllw.. <br />rhp�pIIIIn'1I1IfIu..IlpryryIILI'IIyyI,,1''''''- <br />5 -L`5 C TS, <br />30 <br />IIIpppli'g'I'1I'�'�I��� <br />' <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that razes (Including interest and penalties) <br />IIIIIIII�I <br />IIII�II <br />I�IIII�111111� <br />IIII <br />have been assessed ngaMtt the following -named taxpayer. . have made <br />have <br />a demand ibr payment of flab liability but h temaim unpaid. Tbetefare, <br />ullll /I��ItlO <br />�n�Ipy„yil�I <br />them is a lien in favor of the United States on all property and rights to <br />086331686 <br />X <br />w <br />-1 <br />aos6 rwmgm .s.. <br />Property belonging w this taxpayer for the amount of these taxes, and <br />Fll ° 12131126/3 03.11 Pr <br />additional penalties, Interest, and costs that may accrue. <br />Residence 702 E STH <br />CRAND IS�T hM, NE a C <br />IMPORTANT RELEASE INFORMAfioN: F r etch assessment lisved belew, <br />unless notice o+ the lien is raffled by the date 4iven In column (el, this novice ,hail, <br />on the day following such d -ate, 0...... 3s a oerzifieate of rate.,, as tlefin6d <br />'n IRC 6325(.). <br />Kind of Tax T Erato Iden Date of Last Day for <br />(a) (b) tlf7dng Nember Assessment Refiling <br />(c) (d) (a <br />1040 12/3i/2000 '573 -97 -1930 04/15/2001 5/7.5/2011 <br />1040 12/3 -/2000 573 -97 -1930 02/0;3/2003 03;05/2013 <br />Place of Fling <br />Reg;s_er 'i r."d' <br />Hall POBOX 1692 <br />Grand Is�l_ard, Nu 66806 -1692 <br />This notice w,,, preoarod and signed al _ T PAUL, �W <br />the _ __7_d day cf DecetaS,_ 2003 <br />Slgl R <br />3� E ti=eaJ '' l ACS <br />to-- bT_S;E.. <br />(NOTE C-"f" to Of offlce1 auth—i,yd p-y Iew Yo :eke aoknuw'e09reem IS �Ct aE <br />2 CC. 411 <br />Part i - Kept By Reo.1d1n2 Ohr- <br />Dnpald Balance <br />of Assessment <br />61ES. 91 <br />Total $ <br />51 F.L.91 <br />,- , on this, <br />- - - -- <br />(i.��C''. <br />-- <br />5 -L`5 C TS, <br />30 <br />IDs vaiidty o4 Plo�ice of rodn,a lax Iien <br />rctT 666(Y)(0 IFev_lo pa <br />