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IN 08 /05 %2002 1.6:29 FAX 14024714429 NEBRASKA UCC - Department of the Treasury - Internal Revenue Service Fore 668 (T)(c) Notice of Federal Tax Lien IFnv. October 20007 Area: Serial Number =or SMALL BUSINESS /SELF EMPLOYED AREA 09 Cen Unit Phone: (800) 829 -3903 390259539 As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice that taxes (including interest and penalties) have been assessed against the following named taxpayer. We have made a demand for payment of this liability, but it remains unpaid. Therefore, there is a lien In favor of the Unleed States on all property and rights to property belonging to this taxpayer for the amount of these taxes, and additional penalties, interest, and costs that may accrue. NEme of Taxpayer JEFFREY T & WENDY J ROMSA, Resicence 60'7 STAGECOACH RD GRAND ISLAND, NE 68801 -7503 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the lien is refiled by the date given in column (e), this notice shall, on the day idlowing such date, operate as a certificate of release as defined in IRC e3251ai. Tax Period Date of Last Dayy for Kind of Tax I Ending Identifying Number I Assessment Refilling 2002/00;7 1040 12/31/1998 508 -82 -1980 111/22/19991 12/22/2009 200208238 Unpaid Balance of Assessment 8759.01 Place of Filing Register of Deeds Total $ Hall POBOX 1692 8759.01 Grand Island, NE 66802 -1592 This Notice was prepared and signed at MILWAUKEE, WI , on this, the 30th day of July 2002 I S gnature Title f ACS 27 -00 -0008 for J GALLAGH 1; (800) 829 -3903 (NOTE: Certificate of officer authorized by law to take acknowledgment is not assertial to the validity of Nature of Federal Tax lien Rev. Rul. 71-466,1971 - 2 C.B. 405) Form 668(y)(c) (Rev, 10 -0C) Part I . Kept By Recording Office CAT. NO 60025X