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01/07/2003 11:56 FAX 14024714429 NEBRASKA i1CC 01009 <br />109 r. I uc u <br />Department c the Treasury -Internal Revenue 51 �IN�III��III I�NIIigII�INN <br />Farm 666 (y)(t) Notice of Federal Tax Lien II Ippl IIINllllgl I+IIIIIiIILII <br />(Ray. October 2ocm <br />Area: Serial Numbs, f0f 2a {eras -7 vse i <br />SMALL RUS1NTSS /SELF EM�LCYS�J AREA #9 LnaCaeriq aER <br />Lien Unit Phone; (800) 829 -3903 390365096 F_ll.d_ 111J071,1111 15 Pn_ <br />As prodded 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 Men assessed against the following -named taxpayer. We haw made <br />a demand for payment of this Mobility, but ft remarks unpaid. Therafors, <br />mere Is a lien in favor of the United Sol on all property and rights to <br />Property belonging to this taxpayer for this amount of that taxes, and <br />additional penalties, interest, and costs that may accrue. <br />This notice was Prepared and signed at MILWAUKEE, Wi <br />the _ 02nd day of January 2003 <br />m this, <br />Signature ,}t r Title <br />I ACS 27 -00 -0008 <br />for J GALLAGHER (800) 829 -3903 <br />(NOTE: Certificate of officer aulhoraed by lea to take eckn °wled,mem is not ea..roal to the validity of Nmice of Federal iak Ilan <br />fiay. Rol, 71-466,1971 - 2 C.O. 4091 Form 666(17(,) (Rev. 10 001 <br />Par[ I • zest 0, Resonate mines <br />GAT. MO 600268 <br />200300191 <br />Residence <br />411 N SHADY BEND RD <br />GRAND ISLAND, NE 68801-8430 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien a refiled by the date given in column (eb this notice shell, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(ai, <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 />ReBBng <br />of Assessment <br />(a ) <br />(b <br />c <br />d <br />e <br />f <br />1040 <br />12/31/1999 <br />505 -78 -6730 <br />11/13/2000 <br />12/13/2010 <br />913.70 <br />1040 <br />12/3112000 <br />505 -78- 6730 <br />05/20/2002 <br />06/19/2012 <br />26494.53 <br />1040 <br />12/31/2001 <br />505 -78 -6730 <br />08/05/2002 <br />09/04/2012 <br />21283.62 <br />Place of Fling <br />Register of Deeds <br />9 <br />.Hall POECX 1692 Total <br />48691.65 <br />Grand Island, NE 68802 -1692 <br />This notice was Prepared and signed at MILWAUKEE, Wi <br />the _ 02nd day of January 2003 <br />m this, <br />Signature ,}t r Title <br />I ACS 27 -00 -0008 <br />for J GALLAGHER (800) 829 -3903 <br />(NOTE: Certificate of officer aulhoraed by lea to take eckn °wled,mem is not ea..roal to the validity of Nmice of Federal iak Ilan <br />fiay. Rol, 71-466,1971 - 2 C.O. 4091 Form 666(17(,) (Rev. 10 001 <br />Par[ I • zest 0, Resonate mines <br />GAT. MO 600268 <br />