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03;14/2003 16:34 FAY 14024714429 NEBRASKA OCC <br />[a003/003 <br />200303049 <br />.........« <br />jy <br />Department of the Treasury - Internal Revenue 5 <br />Fare 668 (y)(c) <br />Notice of Federal Tax Lien <br />��I�Illllligllual�lllll' <br />I'118� <br />enoaar n a, <br />Area[ <br />Serial Number <br />Par <br />SMALL ARcP. fig <br />895/62]t <br />9903253747 <br />a1fuR <br />-2 <br />40sEPM R <br />a 1 <br />it Pho 97- 321F.L <br />Lien Unit Pho98: (414j 299-3211 <br />390369748 <br />Ftied: x311412009 02 36 As <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (Including inmost and penalties) <br />have been assessed against the following-named taxpayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />them is a Ilan in 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 penalties, Interest, and costs that may accrue. <br />Residence 3842 W OLD HWY 30 APT 7 <br />GRAND ISLAND, NE 68803 -5048 <br />IMPORTANT RELEASE INFORMATION: For each assessment lined below, <br />unless notice of the Ilen Is reflled by tin date given in column (e), this notice shall, <br />on the day following such date, Operate as a certificate of release as defined <br />in IRC 6325(a), <br />Tax Period Date of Las[ ppaayy for Onwid Balance <br />Ill of Tax Ending Identifying Number Asselown Ra I fs f f Assessment <br />a b) c (d) a <br />1040 12/31/1996 390 -56 -7742 12/21/1998 01/20/2009 1 1845.65 <br />Flaca of Filing <br />Register of Deeds Total $ <br />I <br />Hall POEOX --il 1845.65 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />MILWAUKEE, WI <br />On this, <br />the nth day of March 2003 <br />Signature Title Yr <br />yy� ACS 14 -00 -7000 <br />for R P e' ! r601' 829 -7.650 <br />(PIOTE: Certificate of officer authrri,ed by law m take acknowledgment a not essential to the valltlhy of Notice of Federal Tax Ile, <br />Rev, Rut. 71 -466, 1871 - 2 C, B. 4(191 Form 6St(Y)(c) fRev. 10 -001 <br />Pan 1 - kept 9y f lisndla r Race CH7. NO - cp025X <br />