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01'14!2003 09:24 FAX 14024714429 NEB] S &4 PCC <br />CT <br />� 597A7 <br />Department of the Treasury - In�ernal Revenue <br />Form 668 (y)(c) <br />R.v. pmcne, acoo, Notice of Treasury <br />Tax Lien <br />Area: Serial Nunber F, <br />SMALL PVSINESS /SMIr RMPLOYED AREA 49 <br />Lien Unit Phone; (414) 297 -32 -1 390365243 <br />As provided by sea:tion 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including Interest and penalties) <br />have been assrmed against the folbwing -named taxpayer. We have made <br />a demand for payment of this Rabl"i but Is remains unpaid. Therefore, <br />there is a Ilan 10 favor of the United Stites on an property and rights to <br />property beionging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costa that may accrue. <br />Residence 1716 IDLEWOOD IN <br />GRAND ISLAND, NE 68803 -6157 <br />x003'005 <br />pYq�l! pire <br />aannonAi <br />N V V V V V V l V <br />MPORTANT RELEASE INFORMATION: For each sesessmel listed below, <br />unless notice of the lien is refiled by the data given in column (el, this notice shall, <br />op <br />an the day following such date, erate as a certificate of release as defined <br />i n IRC 6325(a). <br />Kind of Tax <br />Tax Period <br />Ending <br />Identifying Norther <br />Data rN <br />Assessment <br />Last Day for <br />Re <br />Uni Balance <br />(a ) <br />(b <br />g <br />of Assessment <br />t <br />(d <br />e) <br />f) <br />1040 <br />12/31/2000 <br />507 -80 -8879 <br />07/16/2001 <br />CB/lb/2011 <br />11043.93 <br />1040 <br />12/31/2001 <br />507 -80 -8879 <br />05/27/2002 <br />06/26/2012 <br />7063.25 <br />Place of Filing <br />Register of Deeds <br />Hall POBO% 1692 Total <br />S <br />18107. 18 <br />Grand Island, NE 66802 -1692 <br />Th''s notice was prepared and signed at MILWAUKEE, WI <br />the 07th day of January 2003 <br />on this <br />Signature /�A, a _ r Title <br />,/�, :d- ,'J�.IVA rr-k ACS 27 -00 -0008. <br />for J GALLAGHER (800) 829 -3903 <br />(NOTE: Certficats of officer aothor'sed by law to take acknowledgmentis not eeeelydel to Ne veliLity of rkllce of %daral Ta, lien <br />Rev. R.I. 7119a. ' 971 - 2 C.B. 609) <br />Pan t - Kart BY RecoNiot am'. Farm 661111 Ray. to -w, <br />CAT. NO 90025,X <br />