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04/08/2004 16:52 FAX 14024714429 NEBRASKA UCC <br />r; <br />J 1008 <br />Department of the Treasury - Internal Revenue Service <br />Form 668 (Y)(c) <br />(Rev. February 2004) Notice of Federal Tax Lien <br />lill 003/004 <br />Area: <br />y <br />For Optional Use by Recording Office <br />W s°` °� 114.4. ' uec Fri <br />04/08/2004 16:52 FAX 14024714429 NEBRASKA UCC <br />r; <br />J 1008 <br />Department of the Treasury - Internal Revenue Service <br />Form 668 (Y)(c) <br />(Rev. February 2004) Notice of Federal Tax Lien <br />lill 003/004 <br />Area: <br />Serial Number <br />For Optional Use by Recording Office <br />W s°` °� 114.4. ' uec Fri <br />WAGE & INVESTMENT AREA 45 <br />Lien Unit Phone: (800) 829 -7650 <br />165578004 <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 />9904327309 -3 <br />STUTZMiiN ROBERT E <br />property belonging to this taxpayer for the amount of these taxes, and <br />Filed: <br />04107!2004 04:19 Ply <br />additional penalties, interest, and costs that may accrue. <br />200403499 <br />Name of Taxpayer ROBERT E STUTZMAN <br />Residence RT 1 <br />CAIRO, NE 68824 -9801 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (e), this notice shall, <br />on the day following such date, operate -as a certificate of release as defined <br />in IRC 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 />Refilling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/1996 <br />507 -62 -0885 <br />10/27/2003 <br />11/26/2013 <br />2120.11 <br />1040 <br />12/31/1997 <br />507 -62 -0885 <br />10/13/2003 <br />11/12/2013 <br />2451.77 <br />1040 <br />12/31/1998 <br />507 -62 -0885 <br />10/13/2003 <br />11/12/2013 <br />2506.06 <br />1040 <br />12/31/1999 <br />507 -62 -0885 <br />10/13/2003 <br />11/12/2013 <br />2119.26 <br />1040 <br />12/31/2000 <br />507 -62 -0885 <br />10/20/2003 <br />11/19/2013 <br />2078.22 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 11275.42 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 31st day of March <br />2004 <br />ST PAUL, MN <br />on this, <br />Signature Title <br />, <br />ri ACS 15 -OC -0000 <br />for WANDA W. BROWN 1 (800) 829 -7650 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2 -2004) <br />Part 1 - Kept By Recording Office CAT. NO 60025X <br />If <br />