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03%26 2003 17:05 FAX 14024714429 NEBRASKA ➢CC <br />Z003/003 <br />Form 668 (y)(e) 109 1 <br />Department of the Treasury -Internal Revenue Ilia s.. "'I <br />III�Illl���llllllll <br />iNl �IIII III <br />:aev. eatana, :pool Notice Of Federal Tax Lien N <br />Area: Serial Number v <br />WAGE L INVESTMENT ARM #5 9 6t 3-e Pa 1 <br />Lien Un't Phone: (800) 829 -7650 390368216 11i�iJ�aWal?008 as 11 Pn <br />As provided by section 6321, 6322, and 6323 of the internal Revenue <br />Code, we am gluing a natiu that taxes (Including Interest and penalties) <br />have bean assessed against the following -named taxpayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there Is a lien in favor of the linked States m 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 statue. <br />Name of Taxpayer ANGEL L F GUEROA 200303577 <br />Residence PO BOX 561 <br />GRANDISLAND, NE 68802 -0561 <br />assassesse IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />nless notice of the lien is rallied by the date given in calumn le), this notice shall, <br />n the day following such dens, operate as a certificate of release as defined <br />RC. 6325(ah <br />Tax Period Dace of Lase Daayy for <br />Kind of lax Ending Identifying Number IIMI- net RaRMf <br /><a b I (c) (d) (e) <br />1040 12/31/2000 508 -40 -0284 10/08 /200; 11/07/20 <br />1040 12/31/2001 508 -40 -0284 06/03/2002 07/C3/20 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand _sland, NE 68802 -1692 <br />Total <br />Unpaid Balm" <br />of Assessment <br />M <br />576.37 <br />473 3. 91 <br />5310.28 <br />This notice was prepared and signed at MILWAUKEE, WI__ , on trls, <br />the 21st day of March 2003 <br />SignoEUre 1-y� Tale <br />`a i ACS 14 -00 -0000 <br />for R PTCKARD (800) 929 -7650 <br />(MOTE: GartiLrste o`, office: au[M1Orized by law to take acknowledgment a not eria.10.1 to the valiolty of Notto of Federal Tax lien <br />Rev. Rut, 71-466,1971 2 C.H. 409) Form 6611 (.Rw. 10 -00) <br />Parc i - Y.ept eq xasrding QER:e <br />CAT. NO scozsx <br />p <br />