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05/232002 15:48 FAX 14024714429 NEBRASKA DCC <br />Z004/004 <br />109 <br />Department of the Treasury - Internal Revenue Service <br />668 <br />(Rev. <br />(Rev. Oc[ober 2000) <br />2000) Notice of Federal Tax Lien rn <br />te.,.. ucc <br />Area: Serial Number F <br />WAGE & INVESTMENT ARgA I <br />Lien Unit Phone: (90o) '829 -7650 390260308 <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) 8 8022826 42 -1 sa. + <br />have been assessed against the following-named taxpayer, We have made rFiRled :OelC23ill002 01.89 AM <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 penalties, interest, and costs that may accrue. <br />Name of Taxpayer RICHARD R GARTNER <br />200208916 <br />Residence 406 W KOENIG ST <br />GRAND ISLAND, NE 68801 -6516 <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 date, operate as a certificate of release as defined <br />in IRC 5325(a). <br />Kind of Tax <br />Tax Period <br />Ending <br />Identifying Number <br />Date of <br />Assessment <br />last for <br />' D <br />Unpaid Balance <br />a <br />ib <br />of Assessment <br />c <br />d <br />e <br />f <br />1040 <br />12/31/2000 <br />507 -92 -8185 <br />05/28/2001 <br />06/27/2011 <br />7707,31 <br />Place of Filing <br />Register of Deeds <br />Hamel POSOX 1692 Total <br />$ <br />7707.31 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and slgned at MILWAUKEE, WI <br />the 20th day of August 2002 <br />, on this, <br />Signature "'C ACS <br />14 -00 -0000 <br />for R PICKARD (800) 829 -7650 <br />(NOTE: Certificate of officer authorized by law to taxe acknowledOment is not essential to the validity of Notice of Federal Tex lien <br />Rev. Flul. 71-466,1971 • 2 C.B. 409) Form 666(Y)(c) IRev. 10-001 <br />Para 1 • Kept By Recording Otlka <br />CAT, NO 60026X <br />b r: <br />