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04i17i2002 07:43 FAX 14024714429 NEBRASKA UCC R003/006 <br />109 <br />Department of the Treasury - Internal Revenue Service <br />Form 668 (Y)(c) �'- 2 Q Q 2 4 4 2 3 2 <br />(Rev. October 2000) Notice of Federal Tax., Lien <br />Area: Serial Number For Optional Use by Recording Office <br />WAGE'& INVESTMENT AREA #5 WE sae of siais - uce M. <br />Lien Unit Phone: (800) 829 -7650 390255474 <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 foliowinrnamed taxpayer. We have made <br />a demand for payment of this liability, but It remains unpaid. Therefore, es pee i <br />there is a lien In favor of the United States on all property and rights to ;iERNANOE EDUFM <br />property belonging to this taxpayer for the amount of these taxes, and L led; 04116/2982 01:33 PK <br />additional penalties, interest, and costs that may accrue. <br />Nerne of Taxpayer EDUARDO HERNANDE <br />Residence 214 W 7TH APT 2 <br />GRAND ISLAND, NE 68801 -4362 <br />TANT RELEASE INFORMATION: For each assessment listed below, <br />tice of the lien is refiled by the date given in column ie), this notice shall, <br />F <br />ay following such date, operate as a certificate of release as defined <br />325(a). <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifyuig Number <br />Assessment <br />Reming <br />of Assessment <br />a <br />(b) <br />c <br />d <br />e <br />f <br />1040 12/31/1597 453 -37 -1419 03/20/2000 0`4/19/2010 <br />5258.45 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Hall POBOX 1692 <br />5258.46 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI <br />, on this, <br />the 10th day of April 2002 <br />Signature r <br />Title <br />ACS <br />14- 00 <br />•.�.�.r�,� <br />-000O <br />for R PI�tD <br />(800) 829 -7650 <br />(WOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul, 71 -466, 1971 - 2 C.B. 4091 Office Form 668(Y)(c) iP,sv. 70-00i .1. <br />Part i -Kept By Recording Oce CAT. NO 90025X <br />0 <br />