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05,282002 15:03 FAX 14024714429 NEBRASKA UCC <br />la 004/004 <br />103 <br />Department of the Treasury - Internal Revenue Service <br />- <br />Forir d68 (Y)(0 <br />Oclnber Notice of Federal Tax Lien <br />(Rev. 2000) at ..e ar ,,,,..art .,, <br />Area: Serial Number For II <br />WAGS & INVESTMENT AREA #5 <br />Lien Unit Phone: (eoo) 629 -7650 390260563 <br />i <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) 6962233312 - 1 as: 1 <br />ARMOLC CHARLES P <br />have been assessed against the following -named taxpayer. We have made Fiisd: 0612612002 12.23 PM <br />a demand for payment of this liability, but It remains unpaid. Therefore, <br />there It a lion 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 CILARLES ARNOLD <br />2 0 0 2 0 9 0 6 <br />Residence PO BOX 611 <br />CAIRO, NE 68624 -0611 <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 6325(x). <br />Tax Period <br />Date of <br />Last Da yy for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refrling <br />of Assessment <br />a) <br />b <br />t <br />d <br />e <br />1040 <br />12/31/1996 <br />567 -17 -3499 <br />09/13/1999 <br />10/13/2009 <br />4459.04 <br />1040 <br />12/31/1997 <br />567 -17 -3499 <br />07/03/2000 <br />08/02/2010 <br />4726.78 <br />1040 <br />12/31/1998 <br />567 -17 -3499 <br />11/13/2000 <br />12/13/2010 <br />1419.60 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Hall POBOX 1692 <br />10605.42 <br />Grand Island, NE 66802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI , on this, <br />the 23rd day of August 2002 <br />Signature A/ d � t Title <br />(,(,[ct- ,.crZ[.6ZT' ACS 14 -00 -0000 <br />for R PICXARD (800) 829 -7650 <br />(NOTE: Certificate of officer authorized bylaw to take acknowledgment Is not essential to the validitV of Notice of Federal Tax lien <br />Rev. Rul. 71-4615,1971 - 2 C.B. 4091 <br />Part f - Rapt By Recording Office Form 6x6( CAT (Rev. 0255 <br />CAT. ND eOD25% <br />r' a. <br />