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04117/2002 07:44 FAX 14024714429 NEBRASKA UCC 2004/006 109 This notice was prepared and signed at the 10th day of APri1 2002 MILWAUKEE, WS , on this, Signature r Title --* ACS 14 -00 -0000 for R PI C f (800) 829 -7650 (NOTE: Certificate of officer authorized by law to take acknowledgment, is not essential to the validity of Notice of Federal Tax lien Rev. Kul. 71 -466, 1971 - 2 C.B 409) Form 668(Y)(c) (Rev. 10 -00) Part ] -Kept By Recording OfRse CAT, NO 60025X ' c. _ Department of the Treasury - Internal Revenue Service Form 668 (Y)(c) Notice of Federal Tax Lien (Rev. October 2DO4) Area: Serial Number For Optional Use by Recording Office WAGE`.& II7VESTMENT AREA' #5 Lion Unit Phone: (800) 829 -7650 390255485 "s s°° of si. +o - ucc c *� As provided by section 6331, 6322, and 6323 of the Internal Revenue Code, we are giving a notice that taxes (Including Interest and penalties) have been assessed against the following-named taxpayer. We have made a demand for payment of this liability, but it remains unpaid. Therefore, 8902209541 -8 Poe: 1 there Is a lien in favor of the United States on all property and rights to MIOOLETON KRISTINA M property belonging to.this taxpayer for the amount of these taxes, and Filtrd: 0411BOZD02 8i :33 PM additional penalties, interest, and costs that may accrue. Name of Taxpayer KRISTINA M & DANIEL S MIDDLETON Residence 322 S SYCAMOkE GRAND.ISLAND, NE 68801 -6053 TANT RELEASE INFORMATION: For each assessment listed below, tice of the lien Is refiled by the date given in column (e), this notice shall, F ay following such date, operate as a certificate of release as defined 325(a). Tax Period Date of Last Day for unpaid Balance Kind of Tax Ending Identifying Number Assessment Refilling of Assessment a b (c ) (d (e ) (f 1040 12/31/1998 505 -04 -6834 02/05/2001 03/07/2011 4678.05 1040 12/31/1999 505 -04 -6834 05/29/2000 06/28/2010 791.85 1040 12/31/2000 505 -04 -6834 05/28/2001 06/27/2011 1056.86 Place of Filing Register of Deeds Total $ Hall POBOX 1692 .6526.76 Grand Island, NE 68802 -1692 This notice was prepared and signed at the 10th day of APri1 2002 MILWAUKEE, WS , on this, Signature r Title --* ACS 14 -00 -0000 for R PI C f (800) 829 -7650 (NOTE: Certificate of officer authorized by law to take acknowledgment, is not essential to the validity of Notice of Federal Tax lien Rev. Kul. 71 -466, 1971 - 2 C.B 409) Form 668(Y)(c) (Rev. 10 -00) Part ] -Kept By Recording OfRse CAT, NO 60025X ' c.