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1_2/20,,2D02 10:01 FAY_ 14024] 14429 NEBRASKA UCC ZOOS <br />U <br />-09 <br />Department of the Treasury - Internal Revenue St III Illgl seal <br />Form 669 20001 r) N � Federal Tax Lien w N' II �IIII�IIII��I�I��I I�IIII <br />Area: Sarlal Number <br />SMALL BUSINESS./SELF EMPLOYED AREA #9 B @a4 78 -9 Pea I <br />Lien Unit Phone: (414) 297 -323 390264368 Te° -ear MetagX L <br />Fl <br />Led _. 12 1912M 12.20 Pit <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />[ode, we are giving a notice that taxes (loduding interest and penalties) <br />have been assessed against the following -named taxpayer. We have made <br />a demand fa payment of this liability, but it remains unpaid. Therefore, <br />there is a lien 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 />This notice was prepared and signed at MILWAUKEE, WI , on this, <br />ie 13c'n day of December 2002 <br />Signature pi;.�cd /�7� -��r Title <br />REVENUE OFFICER 29 -10 -2341 <br />for PAT KELLOGG 1 (308) 384 -6662 q <br />(NOTE caniticata of YtDwr aothoriud by law to take acknowledgment is not essential to the validity of Nel of Fain al Tax lien M1 <br />Rev. RYI. 71-466,1971 - 2 C.B. 4091 roan 668(17(6) Vnev 10 OCT <br />Part 1 - Keen By Rxarding Omce CAT. NO 60025X <br />r F e <br />200214329 <br />Residence 704 W 3RD ST <br />GRAND - SLAND, NE 68801 -5826 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is re6'ed try the date given in column (a), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in RIC 6325(ai, <br />Kind of Tax <br />Tax Period <br />Ending <br />Identifying Number <br />Date of <br />Assessment <br />Last D for <br />Ran g <br />Unpaid Balance <br />of Assessment <br />a <br />D <br />(c ) <br />(d) <br />e <br />941 <br />C3/31/1999 <br />47 -0768965 <br />07/12/1999 <br />08/11/2009 <br />1468.52 <br />941 <br />941 <br />941 <br />12/31/1999 <br />C9/30/2000 <br />12/31/2001 <br />47- 0768965 <br />47- 0768965 <br />47- 0768965 <br />05/01/2000 <br />11/19/2001 <br />07/15/2002 <br />05/31/2010 <br />12/19/2011 <br />08/14/2012 <br />1292.82 <br />2374.42 <br />2445.84 <br />941 <br />03/31/2002 <br />47- 0768965 <br />11/11/2002 <br />12/11/2012 <br />2632.11 <br />Place of Filing <br />Register of Deeds Total <br />Fall POBOX 1692 <br />$ <br />10213.7_ <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI , on this, <br />ie 13c'n day of December 2002 <br />Signature pi;.�cd /�7� -��r Title <br />REVENUE OFFICER 29 -10 -2341 <br />for PAT KELLOGG 1 (308) 384 -6662 q <br />(NOTE caniticata of YtDwr aothoriud by law to take acknowledgment is not essential to the validity of Nel of Fain al Tax lien M1 <br />Rev. RYI. 71-466,1971 - 2 C.B. 4091 roan 668(17(6) Vnev 10 OCT <br />Part 1 - Keen By Rxarding Omce CAT. NO 60025X <br />r F e <br />