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04/17/2002 07:43 FAX 14024714429 NEBRASKA UCC 1a002/006 <br />.200204231 <br />This notice was prepared and signed at <br />the 10th day of April <br />MILWAUKEE, WI <br />2002. <br />, on this, <br />Signature !' Title <br />'dCc I ACS 14- 00- --0000 <br />for R PICKARD `' � ' _ (800) 829 -7650 <br />(NOTE: Certificate of officer authorized by law tc take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rol. 71 -466, 1971 - 2 C.B. 4091 Forrn 668(Y)(c) (Rev. 10 -W <br />Part 1 -Kept By Recardlnt Office CAT, NO 60025X <br />109 . <br />Department of the Treasury - Internal Revenue Service <br />F °"" 666 tYxc) <br />Notice of Federal "fax Lien <br />(Rev. Octohor 2000) <br />Area: <br />Serial Number <br />For Optional Use by Recording office <br />WAGE.& INVESTMENT AREA #5 <br />Lien Unit Phone: 1800) 829 -7650 <br />390255440 <br />Nf Lae of g4&4a UGC FTL <br />As provided by section 632 t, 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 trade <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 />9902209539 -3 Pes <br />LOPEZ JUAN R <br />additional penalties, Interest, and costs that may accrue. <br />Filed= 04/16/2002 01:33 PM <br />Name of Taxpayer JUAN A LOPEZ <br />Residence 2 O BOX 117 <br />GRAND I S LAND , NE 68802-0117 <br />TANT RELEASE INFORMATION; For each assessment listed below, <br />U tice of the lien is refiled by the date given in column (e), this notice shall, <br />Fionl <br />ay following such date, operate as a certificate of release as defined <br />325(a). <br />Tax Period <br />Dat e of <br />Last Day for <br />unpaid Balance <br />Kind of Tax <br />Ending <br />identifying Number <br />Assessment <br />Refilling <br />of Assessment <br />a <br />b <br />(c) <br />d <br />(e ) <br />f <br />1040 <br />12/31/1997 <br />256 -89 -9953 <br />09/27/1999 <br />10/27/2009 <br />5452.16 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Hall POBOX 1692 <br />5452.16 <br />Grand Island, NE 688C2 -1692 <br />This notice was prepared and signed at <br />the 10th day of April <br />MILWAUKEE, WI <br />2002. <br />, on this, <br />Signature !' Title <br />'dCc I ACS 14- 00- --0000 <br />for R PICKARD `' � ' _ (800) 829 -7650 <br />(NOTE: Certificate of officer authorized by law tc take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rol. 71 -466, 1971 - 2 C.B. 4091 Forrn 668(Y)(c) (Rev. 10 -W <br />Part 1 -Kept By Recardlnt Office CAT, NO 60025X <br />