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06/14/2005 08:29 FAX 1402471.4429 NEBRASKA UCC <br />L'�' <br />Form 668 MW <br />(Rev. Februery 2004) <br />1872 <br />Department of the Treasury - Internal Revenue Service <br />Nonce of Federal Tax Lien <br />Area: Serial Number <br />SMALL BUSINESS /SELF EMPLOYED AREA ##9 231226205 <br />Lien Unit Phone: (800) 913 -6050 <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 />have been assessed against the following - named taxpayer. We have made <br />a demand for payment of this (lability, but it remains unpaid. Therefore, <br />there is a Tien in favor of the United States on an 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 JEFF A & LOIS GREENWALT <br />Residence 4320 MANCHESTER RD <br />GRAND ISLAND, NE 68803 -2217- <br />Q006/006 <br />20050'i-0)367 <br />For Optional Use by Recording urnce <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(a). <br />Tax Period <br />Date of <br />Last Day for <br />Refiliing <br />Kind of Tax <br />Ending <br />identifying Number <br />Assessment <br />a) <br />(b <br />( ) <br />ent <br />1040 <br />12/31/2000 <br />505 -02 -3010 <br />06/04/2001 <br />07/04/2011 <br />1040 <br />12/31/2000 <br />505 -02 -3010 <br />10/25/2004 <br />11/24/2014 <br />1040 <br />12/31/2001 <br />505 -02 -3010 <br />10/25/2004 <br />11/24/2014 <br />: 05/1312005 io!43 AM <br />Unpaid Balance <br />of Assessment <br />5769.52 <br />23402.32 <br />Place of Filing <br />Register of Deeds <br />Hall POSOX 1692 Total $ 29171.84 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />ST PAUL, MN , on this, <br />the 03rd day of June 2005 <br />Signature Title TE OFFICER 29 -10 -2339 <br />for, KAY PONTE (308) 384 -6667 <br />NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />__ .� r- o nno) Form 668(Y)(c) (Rev. 2 -200x1 <br />