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0 <br />09/02/2005 16:12 FAX 14024714429 NEBRASKA UCC <br />-- 1872 <br />Department of the Treasury - Internal Revenue Service <br />Form 666 (Y)(c) Notre of Federal Tax Lien <br />(Rev. February 2004) <br />Area: Serial Number <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone:.(800) 829 -3903 244576105 <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 liability, but it remains unpaid. Therefore, <br />there its 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 />Name of Taxpayer LARRY TEICHMEIER <br />Residence 409 SO THEBE ST <br />CAIRO, NE 68824 -9598 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by 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 IRC 6325(a). <br />Q003 /003 <br />200508718 <br />For Ootional Use by Recording Office <br />F $4640 - LIM FTL <br />i <br />01360 -5 Pea, 1 <br />D910212006 08:09 PM <br />I <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total $ <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at ST PAUL, MN <br />the 23rd day of _ August 2005 <br />Signature ACS <br />for S KILPATRXCK (800) 829 -3903 <br />15550.41 <br />on this, <br />641 f <br />29 -00 -0008 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -466, 1971 - 2 C.S. 409) Form 668(Y)(c) (Rev. 2 -2004) <br />IA_-.. 4 -- v..... R..0- -WAina 1'"Wen nnT Ain rtnn)RY <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />a <br />b <br />c) <br />(d) <br />(e)--- <br />(f) <br />1040 <br />12/31/2000 <br />505 -70 -8802 <br />09/06/2004 <br />10/06/2014 <br />5395.28 <br />1040 <br />12/31/2001 <br />505 -70 -8802 <br />10/18/2004 <br />11/17/2014 <br />10155.13 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total $ <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at ST PAUL, MN <br />the 23rd day of _ August 2005 <br />Signature ACS <br />for S KILPATRXCK (800) 829 -3903 <br />15550.41 <br />on this, <br />641 f <br />29 -00 -0008 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -466, 1971 - 2 C.S. 409) Form 668(Y)(c) (Rev. 2 -2004) <br />IA_-.. 4 -- v..... R..0- -WAina 1'"Wen nnT Ain rtnn)RY <br />