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03/28/2003 14:51 FAX 14024714429 <br />r/ <br />F' '1 <br />Form 668 (l)(c) 1C9 <br />Department of the Treasury - Internal Revenue Service <br />{Rev. October 20001 Notice of Federal Tax Lien <br />Serial Number I Fo <br />NEBRASKA UCC <br />Area: <br />WAGE & INVESTMENT AREA #5 <br />i_; U ' Ph <br />.en nit one. (a00) 1529 -7650 1 390368307 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the following -named taxpayer. We have made <br />a demand for payment of this Iiability, but It remains unpaid. Therefore, <br />there is a lien 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 />Name of Taxpayer BERNARDO G & JEANETTE P GAVIRIO <br />Residence 324 S VINE ST <br />GRAND ISLAND, NE 68801 -7619 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the 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 />9 002 <br />F71 <br />Ppa, a <br />is Prr <br />200303658 <br />Kind of Tax <br />a <br />Tax Period <br />Ending <br />b <br />Identifying Number <br />(c ) <br />Date of <br />Assessment <br />(d <br />Last D for <br />Refil�ng <br />e <br />Unpaid Balance <br />of Assessment <br />1040 <br />12/31/1998 <br />455 -97 -5259 <br />12/27/1999 <br />01/26/2010 <br />8339.63 <br />Place of Filing - <br />Register of Deeds Total <br />$ <br />Hall POBOX 1692 <br />8339.63 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI <br />the 25th day of March 2003 <br />on this, <br />3 !,Q r a Ttle <br />ACS 14 -00 -0000 <br />for ?�-� (800) 829 -7650 <br />(WOTE. Cer-Olicate of officer uthorized by law to take ackrowledgrnent is not esss tial to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -466, 1471 - 2 C.B. 409) Form 66SN'11(c) (Rev. 1 O- <br />ar¢ r, - R�eyc gg� Le�radc�g t7C46ce CAT. NO 60025Y <br />1 <br />r <br />A <br />b' <br />1 <br />