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12/14/2004 17:55 FAX 14024714429 NEBRASKA UCC <br />1872 <br />Department of the Treasury - Internal Revenue Service <br />'J Form 668 (y)(c) Notice of Federal Tax Lien <br />(Rev. February 2004) <br />Area: Serial Number For <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 204152004 <br />Lien Unit Phone: (651) 312 -8080 <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 .TERRY A REINHARDT <br />Residence 2604 WEST DIVISION <br />GRAND ISLAND, NE 68803 -5737 <br />Use <br />♦ sk.t. -_ua <br />IA 008/008 <br />Office <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 />Kind of Tax <br />Tax Period <br />Ending . <br />Identifying Number <br />Date of <br />Assessment <br />Last Day for <br />Refilling <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />1040 <br />12/31/1995 <br />505 -72 -2716 <br />04/08/1996 <br />05/08/2006 <br />1040 <br />12/31/1996 <br />505 -72 -2716 <br />04/14/1997 <br />05/14/2007 <br />1040 <br />12/31/1999 <br />505 -72 -2716 <br />10/02/2000 <br />11/01/2010 <br />1040 <br />12/31/2000 <br />505 -72 -2716 <br />04/30/2001 <br />05/30/2011 <br />1040 <br />12/31/2000 <br />505 -72 -2716 <br />11/25/2002 <br />12/25/2012 <br />1040 <br />12/31/2001 <br />505 -72 -2716 <br />08/04/2003 <br />09/03/2013 <br />20041201E <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 />ST PATJL , MN <br />Unpaid Balance <br />of Assessment <br />2657.67 <br />6106.00 <br />8904.35 <br />997.35 <br />3054.77 <br />21720.14 <br />, on this, <br />the 08th day of December 2004L <br />Signature TtlVENUE OFFICER 29 -10 -2337 <br />for MICHAEL W PONTE (308) 384 -6666 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity °Form,668(7)(c)a(Rev. 2720041. <br />Rev. Rul, 71 -466, 1971 - 2 C. B. 409) rnT mr) Rnn9Rx <br />4 <br />