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04/06/2003 16:51 FAX 14024714429 NEBRASKA UCC <br />200304238 <br />003,'003 <br />This notice was prepared and signed at MILWAUKEE, WI on this, ! <br />the 03rd dxy of April 2003 7T <br />S�*ftte�. l ACS 14 -00 -0000 <br />�>_ ''RT`�•s,C� -,�R,. - ';.ter' �;/L>� �" i (. 8 0 0) 8 2 9- 7 6 5 C <br />;&C7R -- 'ertificata &f officer authorized by law to ;ake acknowledgment is no", ssserti3i '.o the va;id.iy of Notice of Federal Tax lie, <br />Rev. Rut. 71 -465, 1371 -2 C.B. 409) Form 66ECY)Cc) (Rev. 10 -00) <br />I <br />109 <br />Department of the Treasury - Internal Revenue Service <br />Form 668 (Y)(c) <br />Notice of Federal Tax Lien <br />(Rev. October 2000) <br />Area: <br />Serial Number <br />For ^ " ^ ^ ^� ��' ^' o_^ <br />N! fie e1 ��04 - UCC FTL <br />WAGE & INVESTMENT AREA 45 <br />Lien Unit Phone: (800) 829 -7650 <br />390368643 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are ginning a notice that taxes (including Interest and penalties) <br />have been assessed against the following -named taxpayer. We have made <br />ma <br />a demand for payment of this liability, but It reins unpaid. Therefore, <br />980TZMA�DARELL 6 P9e; <br />there is a lien in favor of the United States on all property and rights to <br />Filed: 04/0812003 08:02 API <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 DARRELL S HILTZMAN <br />Residence 418 STAGECOACH RD <br />GRAND ISLAND, NE 68801 <br />T RELEASE INFORMATION: For each assessment listed below, <br />of the lien is refiled by the date given in column (e), this notice shall, <br />Eh7da <br />ollowing such date, operate as a ce rtificate of release as defined <br />(x). <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a) <br />b) <br />c <br />(d) <br />e <br />1040 <br />12/31/1996 <br />323 -40 -3499 <br />11/24/1997 <br />12/24/2007 <br />11034.25 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Hall POBOX 1692 <br />11034.25 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI on this, ! <br />the 03rd dxy of April 2003 7T <br />S�*ftte�. l ACS 14 -00 -0000 <br />�>_ ''RT`�•s,C� -,�R,. - ';.ter' �;/L>� �" i (. 8 0 0) 8 2 9- 7 6 5 C <br />;&C7R -- 'ertificata &f officer authorized by law to ;ake acknowledgment is no", ssserti3i '.o the va;id.iy of Notice of Federal Tax lie, <br />Rev. Rut. 71 -465, 1371 -2 C.B. 409) Form 66ECY)Cc) (Rev. 10 -00) <br />I <br />