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`j <br />Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service <br />IRev. February 2004) Notice of Federal Tax Lien <br />Area: Serial Number For Optiona <br />WAGE & INVESTMENT AREA #5 <br />Lien Unit Phone: (800) 829 -7650 177586304 NE so. <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 99043 <br />property belonging to this taxpayer for the amount of these taxes, and GON <br />additional penalties, interest, and costs that may accrue. Fi led: <br />Name of Taxpayer FILLEMON J GONZALES DECD <br />06/21/2004 16:39 FAX 14024714429 NEBRASKA UCC <br />1 <br />Residence 1322 HAGGE AVE <br />GRAND ISLAND, NE 68801 -7441 <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 Date of Last Day for <br />Kind of Tax Ending Identifying Number Assessment Refiring <br />(a) (b) (c) (d ) (e) <br />1040 12/31/2000 507 -38 -5281 10/15/2001 11/14/201; <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 <br />the 16th day of June <br />2004 <br />ST PAUL, MN <br />Q002/002 <br />200406203 <br />Use by Recording Office <br />Unpaid Balance <br />of Assessment <br />1743.09 <br />1743.09 <br />on this, <br />Signature . Title <br />ACS 15 -00 -0000 <br />for WANDA W. BROWN (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 t - Kept By Recording Office CAT. NO 60025X <br />