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03/07/2002 16:39 FAX 14024714429 NEBRASKA LICC I fa002i003 <br />C' <br />O� <br />Department of the Treasury -Internal Revenw <br />Form 668 (Y)(c) Notice of Federal Tax Lien <br />(Rev. Octabe, 2000) 5949D <br />Area: Serial Number <br />SMALL BUSINESS /S3LF EMPLOYED AREA #9 390254175 <br />Lien Unit Phone: (414) 297 -3211 <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-11131716d 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 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 />1907 VIRGINIA DR <br />GRAND ISLAND, NE 6860 <br />Place of Piling <br />Register of Deeds <br />"Iall P03OX 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 04th_ day of March <br />Signature <br />for DAVID E NORWOOD <br />(NOTE: Certificate of otficer authorized by <br />no,. Rul. 71-466,1971.2 C.B. 4091 <br />MILWAUKEE, WI <br />2002 <br />r CHIEF ADVISORY <br />(414) 297 -1436 <br />V to take acknowledgment is not essential to th, <br />part 1 - Kept BY Recording Office <br />200202 5S <br />Unpaid Balance <br />of Assessment <br />, on this, <br />27 -97 -6816 <br />vaLdity of Youoe of Foderal Tax lien <br />Form 666(Y)(c) :Rev- 10 -001 <br />CAT. NO 50025X <br />