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.4/2003 09:24 FAX 14024714429 NEBRASKA UCC Z004/008 <br />Form 668 2000) Department c the Treasury de -Internal Revenue S <br />19e.. n=,eam 2d,o, Notice of Federal Tax Lien <br />Area: Serial Number F.,I <br />SMALL BUSINESS /SELF EMPLOYED AREA g9 SM3212433 -4 Par.I <br />Lien Unit Phone: (414) 297 -3211 coca nannn <br />3.0365242 Ai1am -m 1/10/2003 09 :42 HP <br />As provided by section 6321, 6322, and 6323 of the Imemal Revenue <br />Code, we are giving a notice that taxes (Including interest and penalties) <br />have been asseaed against the following -named taxpayer. We have made <br />a demand fer payment of this liability, but it remains Unpaid. Therefore, <br />them, Is a Jim ha favor of the United Sates m all property and rights to <br />property belonging to this taxpayer for the amount Of these axes, and <br />additional penalties, Interest, and costs that may acme. <br />200300544 <br />Residence 2403 W SECOND <br />GRAND ISLAND, NE 68803 -5317 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (e), tNs notice shell, <br />on the day following such date, operate as a certificate of release tae defined <br />In IRC 63261.). <br />Kind of Tax <br />Tax Period <br />Ending <br />Ident"s Number <br />Date of <br />Assessment <br />Last Dayy for <br />ReflIT1 I <br />Unpaid Balance <br />a) <br />h) <br />c <br />d) <br />of Assessment <br />e <br />f <br />1040 <br />12/31/1598 <br />506-58-8638 <br />09/20/1999 <br />20/2009 <br />1729.66 <br />1040 <br />12/31/1999 <br />506 -58 -8638 <br />11/20/2000 <br />12/20/2010 <br />5285.67 <br />1040 <br />12/31/20CD <br />506 -58 -8638 <br />12/17/2001 <br />0_/16/2012 <br />7209.71 <br />Place of Filing <br />Register of Deeds <br />)Ia11 POBO% 1692 Total <br />S <br />14225.C4 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, W1 <br />- — , on thls,l. <br />the 07th day of January 2003 <br />S'gnatura '`'(iS.cLyt'- / /c�"LGLZp- ACS <br />27 -00 -0008 <br />For J GALLAGHER (600) 829 -3903 <br />(NOTE, .e�mcate of oe¢e, euthorimd by law to take acknowledgment is not eceenbal to the validity of Notice of Fvderai Tax Ilan <br />Bev. Rul. 71 -406, 1971 - 2 C.9. 409) <br />Part I - bet By Recorded, Olen Fam 669(Y)(,) (Rev. 1 o -001 <br />CAT. NO 60025X <br />