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03/05/2004 09:36 FAX 14024714429 ON NEBRASKA UCC IM 003/004 This notice was prepared and signed at ST PAUL, MN the 26th day of - February 2004 Signature r for S KILPATRICK VF; on this, Title ACS 29 -00 -0008 (800) 829 -3903 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.B. 409) _ __ Form dda(ln(t) (Rev. 2 -2004} =tr. 5169 Department of the Treasury - Internal Revenue Service Form 668 (Y)(c) Notice of Federal Tax Lien (Rev. February 2004) Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS /SELF EMPLOYED AREA #9 Lien Unit Phone: (651) 312 -8080 1 159705704 Me s.c of s +.+. - ucc cn As provided by section 6321, 6322, and 6323. of the Internal Revenue Code, we are giving a notice that taxes (including interest and penalties) have been assessed against the following -named taxpayer. We have made a demand for payment of this liability, but it remains unpaid. Therefore, there is a lien in favor of the United States on all property and rights to 99®4321255 -5 P9s: i property belonging to this taxpayer for the amount of these taxes, and SWARTZBAUGM TODD Filed: 03103/2004 03:23 PM additional penalties, interest, and costs that may accrue. 200402080 Name of Taxpayer TODD _ & CHERYL SWARTZBAUGH Residence 3448 SCHROEDER GRAND I S LAND , NE 68803 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the lien is refiled by the date given in column (e), this notice shall, on the day following such date, operate as a certificate of release as defined in IRC 6325(a). _ Tax Period Date of Last Dayy for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment a) (b) (c) (d) (e) (f) 1040 12/31/1999 482 -86 -2399 11/27/2000 12/27/2010 5102.59 1040 12/31/2000 482 -86 -2399 10/29/2001 11/28/2011 8306.85 1040 12/31/2001 482 -86 -2399 12/02/2002 01/01/2013 1799.90 Place of Filing Register of Deeds Hall POBOX 1692 Total $ 15209.34 Grand Island, NE 68802 -1692 This notice was prepared and signed at ST PAUL, MN the 26th day of - February 2004 Signature r for S KILPATRICK VF; on this, Title ACS 29 -00 -0008 (800) 829 -3903 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.B. 409) _ __ Form dda(ln(t) (Rev. 2 -2004} =tr.