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06/05/2002.16:29 FAX 140247 <br />UCC <br />Z003/003 <br />59625 <br />Department of the Treasury - Internal Revenue Service <br />Form 666 (Y)(c) <br />Notice of Federal Tax Lien er S•° e..,.,. - u« °" <br />fgev. Octaber 20001 <br />Area: Serial Number Ft <br />SMALL BUSINESS /SELF EMPLOYED AREA #5 <br />Lien Unit Phone: (414) 297.3211 390259559 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue Ppf 1 <br />B8e227976 -e <br />Code, we are giving a notice that taxes (Including interest and penalties) TsSM CARL A <br />001 S+2m02 ms ms ve <br />have been assessed against the following -named taxpayer. We have made Filed: <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there Is a Ben 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 penaltes, Interest, and costs that may accrue. <br />Name of Taxpayer CARL A & DEBORAH L TESMER <br />Residence 2909 HANCOCK PL <br />GRAND ISLAND, 200208237 <br />NE 68803 <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 following such data, operate as a certificate of release as defined <br />in IRC 6325(a). <br />Tax Period <br />Date of <br />Last Da for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />ReflLfg <br />of Assessment <br />a <br />b <br />c <br />d <br />(e) <br />f <br />1040 <br />12/31/1999 <br />506 -66 -5094 <br />10/30;2000 <br />11/29/2010 <br />4322.49 <br />1040 <br />12/31/2000 <br />SD6 -66 -5094 <br />07/30/2001 <br />08/291/2011 <br />3050.24 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Hall POBOX 1692 <br />7372.73 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI <br />the 30th day of July 2002 <br />on this, <br />Signature //hh,,,,. r Title <br />f9%'kc1[-rC.c*ZGL�t't CHIEF ADVISORY 27 -97 -6816 <br />fo- DAVID NORWOOD (414) 297 -1437 <br />(NOTE: Certificate of officer authorized by law to take acknowledgmenr is not essertlal to the valid ty or Notice of Federal lax lien <br />Rev. Rul, 71-466,1971 - 2 C.B. 469) <br />Pan 1 - Kapc By It"ordins Onion Form 660(Y)CC) CAT I O 'C25X <br />CAT. NO 600254 <br />e <br />ft <br />