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05'08/2002 15:55 FAX 14024714429 <br />NEBRASKA UCC <br />[a002 /0o2 <br />This notice was prepared and signed at MILWAUKEE, WI , on this, <br />the 02nd day of August 2002 <br />Signature Title <br />-'r— ACS 27 -00 -0008 <br />for J GALLAGHER (800) 829 -3903 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lion <br />Rev. Full. 71 -466, 1971 • 2 C.B. 4091 <br />AT <br />Part 1 - Kept By Reeore inn Office C <br />Form 66i( IRay. 14001 <br />CAT. NO 80025% <br />4 to <br />109 <br />Department of the Treasury - Internal Revenue <br />Service <br />Form 668 (Y)(c) <br />(Rev. OctWa, 2000) <br />! Notice of Federal Tax Lien <br />•~ - ° ° ° "L <br />/ <br />Fc <br />Area: <br />Serial Number <br />SMALL SUSINESS;SELF EMPLOYED AREA #9 <br />I [(UII <br />1111111, <br />Lien Unit Phone: (Boo) 829 -3903 <br />390259782 <br />�a <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />-s Pye 1 <br />WMHtT1 7002 <br />have been assessed against the fbilowing -naed taxpayer. We have made <br />m <br />Filed: <br />02. a8 PM <br />a demand for payment of this liability, but It remains unpaid. Therefore, <br />there Is a Ban 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 of Taxpayer WHITNEY C DRAKE <br />Residence 2323 BELLWOOD DR 110 <br />GRAND ISLAND, NE 68801 -6205 <br />200208354 <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 s;.ch date, operate as a certificate of release as defined <br />in IRC 6325(al, <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />a) <br />b <br />c <br />d <br />(e ) <br />f <br />104C <br />12/31/1998 <br />505 -88 -7449 <br />05/31/1999 <br />06/30/20C9 <br />34.08 <br />1040 <br />12/31/1999 <br />505 -88 -7449 <br />05/29/2000 <br />06/28/201D <br />1950.90 <br />1040 <br />12/31/2000 <br />505 -88 -7449 <br />08/13/2001 <br />09/12/2011 <br />6209.89 <br />Place of Filing <br />Register cf Deeds <br />Total <br />Hall POBOX 1692 <br />$ <br />6294,87 <br />Grand island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI , on this, <br />the 02nd day of August 2002 <br />Signature Title <br />-'r— ACS 27 -00 -0008 <br />for J GALLAGHER (800) 829 -3903 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lion <br />Rev. Full. 71 -466, 1971 • 2 C.B. 4091 <br />AT <br />Part 1 - Kept By Reeore inn Office C <br />Form 66i( IRay. 14001 <br />CAT. NO 80025% <br />4 to <br />