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I`03'20/2003 17:32 PAX 14024714429 NEBRASKA ICC <br />r✓ --T 109 <br />fd1003' 003 <br />Fora 666 (y)(,) Department of the Treasury - Internal Reven_e Service <br />(Fae. pcc-20m) Notice of Federal Tax Lien 200303317 <br />Area: Serial Number Per Unnona� Use by Reco,eirio rsa... <br />SMALL 8J hone: ( 454)8 97 -3211 AR£Ji fj9 <br />Lien Unit Phone: 1414) 397.3 z11 ill3 903 6 7978 At proNded 6y settian 6321, 6322, and 6323 of the Internal Reverme Code, we are giving a notice that taxes (Including interest and pena11 es) hive been assessed against ohs following -named taxpayer. We have made <br />a demand for payment of this RabWty, but it remains unpaid, Th erefore, there is alien in favor of the Unked States on all properly and f ts fp ON 291 <br />Property belonging to this taxpayer for the amount of these taxes, and rw: man11i3an e2 17 Rif <br />additional penakiea, interest, and costs that may accrue. <br />Ros'�dence 4339 W STOLLEY PARK RID <br />GRAND ISLAND, NE 68801 -1223 <br />IMPORTANT RELEASE INFORMATION: For each rise eener, listed <br />belcw. <br />unless 11-01- of the Len is raffled by the cars 911en in column 1e7, this notice shall, <br />on the day f0110wing such data, operate <br />as a cenificete of release as <br />in IRC 8325W. <br />dabbed <br />Tax Period Date of <br />Kmd of Tax En ling Identifying Number Assessment <br />Lea Da for <br />Ranting <br />940 12/31/1996 47- 0790606 10/04/1990 <br />11/03/2009 <br />940 12/31/2000 47- 079p606 03/26/2001 <br />04/25/2011 <br />940 12/31/2001 47- 0790606 03/25/2002 <br />04/24/2012- <br />941 09/30/2001 47- [790606 04/22/2002 <br />941 <br />05/22/2012 <br />12/31/2001 47- 079C606 03/18/2002 <br />04/17/2012 <br />Place of Filing <br />Register of Deeds <br />'4all PO &OX 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WS <br />the_ =7th day of March— 2003 <br />Totel <br />Unpaid Balance <br />of Asessment <br />277.61 <br />234.05 <br />140.02 <br />4014.55 <br />1236.36 <br />5902.59 <br />on this, <br />n A (30*•:) 3 4-666 A 29-Lo-2339 <br />i 0' 3'4 b5 <br />(NQTE C f 1�� O YsWtCtake sakoawledgnenx Is o ha arty ue Norco e( Feaerarv: 'e <br />fed "l. 71466. 9,1.2 Cls <br />Fart I - Kill SY Recendie, e0e(TgO (RSV. 10L5i <br />:AT. NC co0i5x <br />