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•- 03/30/2004 10:30 FAX 14024714429 NEBRASKA UCC <br />'A 1,---- <br />J Form 668 (Y)(c) <br />(Rev. February 2004) <br />1008 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Serial Number For Optioni <br />Area: <br />WAGE & INVESTMENT AREA #5 163905004 <br />Lien Unit Phone: (800) 829 -7650 <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 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 JOSE R PRADO <br />2003/004 <br />Use by Recording OffPce <br />Residence 703 W 7TH ST <br />GRAND ISLAND, NE 68801 <br />-4221 <br />200403047 <br />RTANT RELEASE INFORMATION: For each assessment listed below, <br />notice of the lien is refiled by the date.given in column <br />(e), this notice shall, <br />day following such date, operate as a certificate of release as defined <br />E <br />6325(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 />Refiiing <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/1995 <br />619 -03 -2790 <br />11/24/1997 <br />12/24/2007 <br />2673.14 , <br />1040 <br />12/31/1997 <br />619 -03 -2790 <br />08/10/1998 <br />09/09/2008 <br />260.60 <br />1040 <br />12/31/1998 <br />619 -03 -2790 <br />04/19/1999 <br />05/19/2009 <br />1040 <br />12/31/1998 <br />619 -03 -2790 <br />05/14/2001 <br />06/13/2011 <br />1870.83 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total $ <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at ST PAUL, MN <br />the 23rd day of March 2004 <br />4804.57 <br />, on this, <br />Signature ACS <br />15 -00 -0000 <br />fnr WANDA W. ROWN (800) 829 -7650 <br />(NOTE. Certificate of officer authorized by taw to take acknowledgment is not essential to the validity of Notice of reoerai i ax null <br />Rev, Rut. 71 -466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2 -2004) <br />r A-r kin anr»Fx <br />