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02/11/2008 17:34 FAA 14024714429 NEBRASKA UOC <br />® 002"002 <br />109 <br />Department o' the Treasury - Interne! ftevenbe Service <br />Form 666 (Y)(s) Notice of Federal Tax Lien _NNIn''I N ''ilyl'gg�Il <br />lean. one be, 100¢1 Fn ae „ IIIIIII) IIIIIIIII� I��IIIIIIY <br />Arse: Serial Number <br />SMALL SOSINESS /$3LF IIrtPLOYED A EP. 49 39036E257 <br />Lien Unit Phone: (4151 290 -3911 <br />As provided by section 6321, 6322, and 6323 of Cho Internal Revenue 9eoazs sae -e <br />lode, wt. are giving s notice that tixes (Including Interest and penaltlea) ass: t <br />have been assessed against the fpgowing-ttamed taxpayer. We have made r'te ®Z'(1°r "azses <br />a demand for payment or this liability, but h remains unpaid. Therefore, <br />there e a lien he 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 peoahies, interest. and Costs that may same. <br />Name of Taxpayer THOMAS A i4AGONER <br />200301709 <br />liesidenoc 1319 W NORTH FRONT S'7 <br />GRAND ISLAND, NE 68803 -4706 <br />ehla Fisted l <br />PORTANT RELEASE INFORMATION: <br />en In column (a), shelf, <br />ess notice of the Ilan is retlled by the date given <br />a ceMHCata of roleaae ea dctined <br />the day following such data, operate es <br />Lin <br />IRC l <br />Tax Porlod <br />Wte of <br />Last a for <br />Re <br />Unpaid Balance mant <br />at Assaf) <br />IUnd of Tax <br />Ending <br />14111 nc�Number <br />Assesdsmene <br />e�ng <br />a) <br />09/30/2000 <br />47- 0550792- <br />- 1/25!2002 <br />- 2/25/2012 <br />1973.33 <br />941 <br />941 <br />12/31/2000 <br />47- 0550792 <br />!1/25/2002 <br />i2i25/2012 <br />21 <br />941 <br />D3/31/2001 <br />47- 0550792 <br />11/25/2002 <br />12/25/2012 <br />1143.60 <br />Piaca of Filing <br />Register of Deeds <br />Fall POSOX 1692 <br />Grand island, NE 68802 -1692 <br />MILWAUKEE, WI <br />This notice was prepared and Signed at -- <br />the <br />04tL day o1 Febn , aary 2003 <br />___' <br />TE: cz-llticam o'srfice, . audborc-1 by law to sae <br />qnl 11.166, 1571 - 2 C.a. 409) <br />Title <br />REVEN-JF OFFICER <br />(402) 351 -0250 <br />.Went Is ro' essential rc [Fe v <br />Total <br />5157..18 <br />on this, <br />29 -10 -1726 <br />ti <br />f NotICC o: I've,al Tax fey. <br />(Rev. ^.0 -00) - <br />t <br />