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07,21!2002 15:46 FAX 14024714429 <br />�o <br />NEBRASKA UCC <br />200207619 <br />la 002/002 <br />109 <br />Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service <br />(Rsv 00obw 2000) Notice of Federal Tax Lien rr sa. Simla Utr <br />of • ,TL <br />Area: Serial Number F <br />WAGE & INVESTMENT AREA #5 <br />Lien Unit Phone: (800) 829 -7650 390258792 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are eeounTee -a Fss. 1 <br />ghring a notice that taxes (including interest and Penalties) <br />9ERM1 DIANE a <br />have been assessed against the following -named taxpayer. We have made Filed, e7122r20e2 e2 2e Fh <br />a demand for payment of this Ilabilhy, 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 />Name a axpayer DIANE J BERAN <br />Residence 2914 CIRCLE DR <br />GRAND ISLAND, NE 68801 -6857 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notioe of the lien is refiled by the date given in column (el, this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a)• <br />Kind of Tax <br />Tax Period <br />Ending <br />Identifying Number <br />Date of <br />Assessment <br />Last Day for <br />Refilling <br />Unpaid Balance <br />a <br />b) <br />of Assessment <br />c) <br />d <br />ie <br />f. <br />1040 <br />12/31/1995 <br />505 -78 -3228 <br />07/16/2001 <br />08/15/2011 <br />9127,22 <br />1040 <br />12/31/1997 <br />505 -78 -3228 <br />07/16/2001 <br />08/15 /2011 <br />2864.17 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ <br />Grand Island, NE 68802 -1692 <br />11991.39 <br />This notice was prepa•ed and signed at MILWAtiKEE, wi <br />the =7th day of July 2002 <br />on this, <br />signature �• + Title <br />'�'' tiCe[- + L Acs 14 -00 -0000 <br />for R PICKARD (800) 829 -7650 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment Is not essential to the validity of Notice of Federal Tax lien PPPPtttt���� <br />Rev, Rut, 71-466,1971 - 2 C.B. 409) <br />Pan 1 •Kept By Reeordlaa Office Form daa(T) 1 10.0 J <br />CAT, NO . NO 60026X X <br />r YJ <br />