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09/12/2005 16:54 FAX 14024714429 NEBRASKA UCC Q 004 /004 Form 668 M(c) (Rev. February 2004) 1872 Department of the Treasury - Internal Revenue Service Nonce of Federal Tax Lien Area: Serial Number SMALL BUSINESS /SELF EMPLOYED AREA ##9 Lien Unit Phone: (800) 913 -6050 246321505 As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice that taxes (including interest and penalties) have been assessed against the following -named taxpayer. We have made a demand for payment of this liability, but it remains unpaid. Therefore, there Is a lien in favor of the united States on all property and rights to property belonging to this taxpayer for the amount of these taxes, and additional penalties, interest, and costs that may accrue. Name of Taxpayer SCOTT D PICKREL Residence 3420 S STUHR RD GRAND ISLAND, NE 68801 -9516 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the lien is refiled by the date given in column (e), this notice shall, on the day following such date, operate as a certificate of release as defined in IRC 6325(a). 200508968 For Optional Use by Recording Office GT4 N[ IlL[ , i 990"5412045 -1 P9s: 1 Filed -, 09C12IMS 08:42 PM Place of Filing Register of Deeds Hall POBOX 1692 Grand Island, NE 68802 -1692 This notice was prepared and signed at the 01st day of September 20.05 Signature for PAT ST PAUL, FIN Total $ 12589.29 on this, �f Title (� �J REVENUE OFFICER 29- 10-2341 (3 08) 3 84 -4850 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the vauaity or rvouce or reaerai i e,c jivii Rev. Rul. 71 -466, 1971 - 2 C.B. 409) - _� _ Form 668(Y)(c) (Rev. 2 -2004) Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment a (b ) (c) d e (f 1040 12/31/1998 507 -78 -8688 05/10/1999 06/09/2009 1040 12/31/1998 507 -78 -8688 07/29/2002 08/28/2012 1313.52 1040 12/31/2001 507 -78 -8688 02/07/2005 03/09/2015 7875.01 1040 12/31./2002 507 -78 -8688 04/04/2005 05/04/2015 3400.76 Place of Filing Register of Deeds Hall POBOX 1692 Grand Island, NE 68802 -1692 This notice was prepared and signed at the 01st day of September 20.05 Signature for PAT ST PAUL, FIN Total $ 12589.29 on this, �f Title (� �J REVENUE OFFICER 29- 10-2341 (3 08) 3 84 -4850 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the vauaity or rvouce or reaerai i e,c jivii Rev. Rul. 71 -466, 1971 - 2 C.B. 409) - _� _ Form 668(Y)(c) (Rev. 2 -2004)