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07/11/2002 15:28 FAX 14024714429 NEBRASKA L'CC Q002/002 <br />j�0 109 <br />Vv Department of the Treasury - internal Revenue Service <br />Form 668 (Y)(e) N¢ s.. or s<.i. <br />(Rev. October 2000) Notice of Federal Tax Lien <br />Arew Serial Number For <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (414) 297 -3211 390258407 <br />As provided by section 6321, 6322 and 6323 of the Internal Revenue HANSEN JERRY J Post: , <br />i HgNSEN JERRY J <br />Code, we are giving a notice that taxes (including interest and penalties) Filed: 0711112002 01:45 PM <br />have been assessed against the following -named taxpayer. We have made <br />a demand for payment of this lability, 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 dfsTaxpayer JERRY J & LINDA J HANSEN <br />Residence 414 W 9TH ST <br />WOOD RIVER, NE 68883 -9105 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed be;ow, <br />unless notice of the lien is refiled by the date given in column (e), this nonce shall, <br />on the dEy following such date, operate as a certificate of release as defined <br />in !RC 6325(a). <br />200207293 <br />Place of Filing <br />Register or Deeds <br />Hall POBOX 1692 <br />Grand Island, NB <br />This notice was prepared and signed at <br />the �- 08th day of _ July <br />68502 -1692 <br />2002 <br />MIaWAUKEE, WI <br />To-al 1$ <br />123236.08 <br />, on this, <br />Sianature -?1- -2L Title <br />ILC, '�' REVENUE OFFTCER 29 -10 -2337 <br />tor �11C:iAEL W PO`dTE (308) 384 -6668 <br />(NOTE: Certificate of officer authcrized by law to take ackrowladg rent is not essantiat to the validity of Notice of Federal Tax Tian <br />Rev. Rul. 7'-4136, 1971 - 2 C.B. 409) <br />Form 668(Y)(c) iRev. to -OOl <br />Part t - Kept By Recording Office CAT. NO 60025X <br />Tax Period <br />Date of <br />Last Day for l <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 />12/31/1992 <br />506 -66 -7436 <br />02/27/1995 <br />03/29/2005 <br />119971.37 <br />1040 <br />12/31/1993 <br />506 -66 -7436 <br />02/13/1995 <br />03/15/200: <br />840.72 <br />1040 <br />12/31/1994 <br />506 -66 -7436 <br />03/27/1955 <br />04/26/2005 <br />1040 <br />12/31%1994 <br />506 -66 -7436 <br />06/16/1997 <br />07/16/2007 <br />1797.88 <br />1040 <br />12/31/1995 <br />506 -66 -7436 <br />12/23/1996 <br />01/22/2007 <br />626.17 <br />- <br />Place of Filing <br />Register or Deeds <br />Hall POBOX 1692 <br />Grand Island, NB <br />This notice was prepared and signed at <br />the �- 08th day of _ July <br />68502 -1692 <br />2002 <br />MIaWAUKEE, WI <br />To-al 1$ <br />123236.08 <br />, on this, <br />Sianature -?1- -2L Title <br />ILC, '�' REVENUE OFFTCER 29 -10 -2337 <br />tor �11C:iAEL W PO`dTE (308) 384 -6668 <br />(NOTE: Certificate of officer authcrized by law to take ackrowladg rent is not essantiat to the validity of Notice of Federal Tax Tian <br />Rev. Rul. 7'-4136, 1971 - 2 C.B. 409) <br />Form 668(Y)(c) iRev. to -OOl <br />Part t - Kept By Recording Office CAT. NO 60025X <br />