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12/28/2004 09:31 FAX 14024714429 NEBRASKA UCC _ IA 003 /003 <br />I X <br />1872 Depiartment of the Tieasury - Internal Revenue Service 200412413 <br />F 668 (Y)(c) ; Notice of ;Federal Tax Lien <br />(Rev. February 2004) - <br />Serial Number For optional Use by Recording Office <br />iQAG ' & INVESTMENT AREA #5 i 206389904 <br />Lin Unit Phone: (800) 829 -7650 <br />Mt see N 5i048 - UCL FTL <br />provided liy section 6321, 6322>r and 6323 of the Internal Revenue <br />ode, we are ;giving a notice t at taxes (including interest and penalties i <br />have beech assessed .against the follovi'i g -named taxpayer. We have made <br />dernan foripsyilnent of this lability, but it remains unpaid. Therefore; <br />h i e is i lienl ii� favor of the ni ed States on all prl erty and rights to . <br />r the amount � f these taxes, and 99 8377 -3 <br />1r perty belon nto this to er fql ! e• Fawd a13iszoea ®a: �� ars <br />d kion4q pen tiffs, interest, d colst§ that bnay acct <br />a e of JTaXPa CHAP,. LES M ILLEN <br />i <br />�si ence 342'4 PRI d� Es llR I <br />j GRAND IS A D,' N; E 68801 -8 65 <br />: pR AN �&LllqiINF R ATIONFor each asir 0), tnt listed belo u 1 ss n e IIen,�s� refilled y e hate given in colurriri Ie1, this nofice sha I;o he f( WIr1 udh date, o rate;as .a certificate f release as define' <br />,j C 53 5(� <br />Date Of Las ba ifor Wnpaid Balance <br />a i P trod . , of Assessment <br />tin 1 f T , : b Ilde Illtafy ( )Number sessment a n B <br />'40'; %� 11 ''2001 5 6'5'3 -4666 l 15/200' 01 i14 :20 4' 10566.56 <br />Ii ,! <br />-I <br />i <br />P! 3 pf Fii <br />1 Sister fl Deeds <br />i; I I. 92 j I Total 10566 .56 <br />11.1 a <br />l <br />i -1692 N 68802 and "Is nd S <br />i <br />I I ST P TJL,I MN , on this, <br />oti l vuj p ;e , d ­ dl iE <br />a <br />�I. <br />gip' e <br />C <br />r 2004 <br />" 2 e , <br />`. <br />1 f � _ c� <br />I r <br />i it I <br />i I !i <br />TWO -00 15 -0000 <br />'a ure I 11 AC <br />i <br />I' (g D) 829 65 j I <br />IW A 14 rl , B' ;OWN :� <br />i ity of Notice of Federal Tax lien <br />X10 : Ge 0 o icer a on d by i aw to take ac3cnoiivl dgmerit is n essenti to a vat' rm 6b8(� c) (Rev. 2 -2004) <br />L ?�II <br />eV. i.�:7Q' `I �J,1 1 i f '.r..r1:::v ABiue I T Nrl Fin(19FX <br />