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006/24/2002 15:11 FAX 14024714429 <br />v� 19039 <br />D rt <br />NEBRASKA DCC <br />Form 668 e of the Treasury - Internal Revenue Service <br />(Y)iti _. pa ment . <br />(Re —C sa <br />IM0o2io02 <br />V. OMeer 21000) otice Federal ?ax Lien -- --- - -•- ..�........... <br />Area' Serial Number <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: f414) 297 -3211 390257860 <br />As provided by section 6321, 6322, and 6323 of the Internal Revamte <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the followhtg -named taxpayer. We have nude <br />a deramd for payment of this Rability, 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 />Name dl <br />Residence <br />2711 COTTONWOOD <br />GRAND ISLAND, NE 68801 <br />IIMPORTANT RELEASE INFORMATION; For adch assessment listed below, <br />unless notice of the lien is refiled by the date given in column (1), this notica shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6326ia1. <br />Kind of Tax <br />1040 <br />1040 <br />1040 <br />1040 <br />Place of Filing <br />TAX Period <br />Ending <br />12/31/1997 <br />12/31/1998 <br />12/31/1999 <br />12/31/2000 <br />Date of <br />Number I Assessment <br />505 -74 -7366 <br />505 -74 -7366 <br />505 -74 -7366 <br />505 -74 -7366 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE <br />Ft <br />HANS <br />8De222293Ir3y-a Pal. i <br />Flied: 0e/24/2102 e2:26 Pa <br />200206693 <br />Last Da for Unpaid Balance <br />ng I of Assessment <br />7/02/2001 08/01/2011 14443.53 <br />6/04/2001 07/04/2011 83637.74 <br />6/04/2001 07/04/2011 55250(07 <br />7/02/2001 08/01/2011 25585.14 <br />Total I$ <br />2 178916.48 <br />68802 -169 <br />This notice was prepared and s:gne0 at MILWAUKEE, WI <br />on this. <br />the 19th day of June 2002 <br />Signature r Title <br />REVENUE OFFICER 29 -10 -1254 <br />for NANCY O'DENIUS (402) 221 -3403 <br />Rev. Rul 71.466, 1971 - 2 C.B. 409) 1� <br />(NOTE: Cerl�oete of officer authorized by law to take acknowledgment is rot a,samial to the validity of Non ax ce of Federal T lien <br />, <br />Part t - Kept By Recording Oftf4e Form 666(Y)(c) (Rev. 10-00) <br />CAT. NO 60025X <br />