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12/23,2002 15:56 Fd% 14024714428 NEBRASKA IICC <br />la 002(002 <br />U — 109 _ <br />Form 668 (Y)(q Deparment of the TraasOry - Internal Revenue,. <br />a R <br />II ppp <br />0ttob °i 200e Notice of Federal Tax Lien <br />Illltl��l <br />N�u <br />I <br />Area: <br />Are <br />Serial Number 5/ <br />Wien ni 11n7STMENT A35:A 45 <br />u IIgi <br />II <br />IuI <br />Lien Unit Phone: (600) 829 -7850 <br />(eco <br />902249912y, <br />pot 1 <br />390264551 <br />Co provided bgf section 6326 . and 6323 of the Internal Revenue <br />poses sTPOEV E <br />rues: +t /aspae2 e1:2e Ph <br />Coder <br />thee <br />e arc giving a north ehM taxes (including Interest end <br />Causes <br />e Penalties) <br />have been assessed against the fast <br />tespayer. We have made <br />a demand for Payment of this liability, <br />but it remains unpaid. Therefore, <br />there is a Ran in favor of the United Statu <br />on ail property and rights to <br />Propriety belonging to this teapayer for the amount of thus taxes, <br />and <br />additional penakks, Interest, end costs that <br />may accrue. <br />Name of Taxpayer --, 3 DENN <br />Resitlenca <br />200214453 <br />P O BOX 5736 <br />-RA" ISLAND, NE 68802 -5796 <br />IMPORTANF RELEASE INFORMATION: <br />For each assessmem listed below. <br />unless notice of the lien is refiled by the data given in column is), this notice shall, <br />the day following such data, <br />operate as a certlfieate of release as defined <br />in RC 8325(0.1. <br />L" <br />Kind of Tax Tax Period Date of Last D for <br />Ending Identifying Number Anus one <br />Unpaid Balance <br />e <br />ReR n g <br />(a b (c (d) <br />of Assessment <br />smen <br />e <br />1040 12/31/1998 506 -04 -6790 05/17/199g 06/16/2009 <br />1040 12/31/1999 <br />506 -04 -6790 05/22/2000 06/21/2010 <br />1040 12/31/200C 506- 04 <br />1565.05 <br />1883. G5 <br />-G790 05/26/2001 06/27/2p11 <br />1040 12/3 31/2001 506 -04 -6790 05/20/2002 <br />729.66 <br />06/19/2012 <br />550.55 <br />Place of Filing <br />Regis.er of Deeds <br />Hall POBCX 1692 Total <br />S <br />1 <br />Grand Island, NE 68802 -1692 <br />4728,.48 <br />This no'ioe was prepared and signed at MILWAUKEE, WI <br />— , on this, <br />the `19th day of _December 2002 <br />Signature <br />�P Title <br />EOr R PICKAR ➢S+'A�'^ �y'� / ACS <br />— -.� (.' "L'" y"` -^T' 829 7650 14 -00 -0000 <br />(N07E c,rtf f BCO) <br />P,ul. , i 456, 19T - 3 d bV an vaediry of N�tm <br />e or Ga 4091 o tire FeMral Tax lien <br />Part t - Kept 8r Aecading 01 Porm 66e(y)(c) (RCV, 10.001 <br />CAT. Nn 60026X <br />