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03/10/2004 14:10 FAX 14024714429 NEBRASKA UCC /91002/002 <br />2004023H <br />1008 <br />Department of the Treasury - Internal Revenue Service <br />Form 668 (Y)(c) <br />(Rev- February 2004) Notice. of Federal Tax Lien <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 />160433004 <br />No Sim of S4eio - UCC FTL <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 followhirnamed 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 />as 0a Has aa-7 Pas: f <br />property belonging to this taxpayer for the amount of these taxes; and <br />Filed; 03/0812004 10;09 pN <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer JAMES & MARCHELLE PAUL <br />Residence 3040 ROSELAWN DR <br />GRAND ISLAND, NE 68801 -8773 <br />PORTANT RELEASE INFORMATION: For each assessment listed below, <br />ess notice of the lien is refiled by the date given in column (e), this notice shall, <br />E <br />the day following such date, operate as a certificate of release as defined <br />RC 6325(a). <br />Tax Period <br />Date of <br />Last Dal for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refs ing <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />,(e) <br />(f <br />1040 <br />12/31/1995 <br />507 -84 -0854 <br />04/08/2002 <br />05/08/2012 <br />366.77 <br />1040 <br />12/31/1996 <br />507 -84 -0854 <br />05/26/1997 <br />06/25/2007 <br />583.85 <br />1040 <br />12/31/2002. <br />507 -84 -0854 <br />06/02/2003 <br />07/02/2013 <br />4246.39 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 5197.01 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed. at ST PAUL, MN on this,_ <br />the 03rd day of March 2004 <br />Signature Title <br />ACS 15 -00 -0000 <br />for WANDA°1��„� fgr =�`�` (800) 829 -7.650 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal. Tax lien - <br />o.,., o­i 71 _naa 1071 _ -9 r' anal &fa/yif,i /Ads, q.gnn41 •.. <br />