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05/02/2002 17:01 FAX 14024714429 <br />G� <br />form 668 M(c) <br />(Rev. October 2000) <br />NEBRASKA UCC <br />Department of the Treasury - internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number <br />SMALL ELTSINESS /SELF EMPLOYED AREA #9 390256345 <br />Lien Unit Phone: (800) 829 -3903 . <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) made <br />have been assessed against the following -named taxpaye <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there is alien 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 />Residence 918 N CHERRY <br />GRAND ISLAND, NE 68801 -2750 <br />iMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given In column (e), this notice shall, <br />on the day foilowina such date, operate as a certificate of release as defined <br />For <br />Q002/003 <br />Umce <br />200204856 <br />in IRC 6326(x). <br />Kind of Tax <br />a <br />Tax period <br />Ending <br />(b <br />12/31/1998 <br />12/31/2000 <br />Identifying Number <br />c <br />461 -67 -3815 <br />461 -87 -3815 <br />Date of <br />Assessment <br />06/28/1999 <br />06/25/2001 <br />Last Da y for <br />Refilling <br />07/28 /2009 <br />07/25/2011 <br />iJnpaid Balance <br />of Assessment <br />2138.10 <br />8780.73 <br />1040 <br />1040 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 26th day of April 2002 <br />Signature <br />�r,r .T r_aT,T.AGHER <br />MILWAUKEE, WI <br />r Title <br />`fix ACS <br />(800) e29 -3903 <br />Total , $ <br />10918.83 <br />, on this, <br />27 -00 -0008 <br />(NOTI: certificate of officer authorized bylaw to take acknowledgment is not essential cv Ulu venuiLy v1 Imv - - - -• -• • - -- •- <br />Rev, Rul. 71 -466. 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 10 -0011 <br />part t . Kept By Recording Office CAT. NO 60025K <br />