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0/6/22/2003 16:56 FAX 14024714429 <br />NEBRASKA UCC Q002/002 <br />51/1 <br />Department of the Treasury - Internal Revenue Service <br />Form 668 (Y)(c) <br />,Rev. October 2000) Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Serial Number <br />For Optional Use by Recording Office <br />Lier Unit Phone: (651) 312 -8080 <br />134392503 <br />vT_ <br />"Ea at ucc <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 />t <br />there is a lien in favor of the United States on all property and rights to <br />-0 Pte. <br />property belonging to this taxpayer for the amount of these taxes, and <br />6BOe32st607 <br />Fi�Isd IW1221260a 03:45 P M <br />additional penalties, interest, and costs that may accrue. <br />2 (�` <br />Name of Taxpayer TIMOTHY E ENCK <br />Residence 3124 W 16TH ST <br />GRAND ISLAND, NE 68803 <br />:r <br />� 1 3 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed <br />lbelow, unless notice of the lien is refiled by the date given in column (e), this noticon <br />the day following such date, operate as a certificate of release as d <br />in IRC 6325(a). <br />Kind of Tax <br />Tax Period <br />Ending <br />Identifying Number <br />Date of <br />Assessment <br />Last Day for <br />Refiling <br />Unpaid Balance <br />of Assessment; <br />a) <br />b <br />c) <br />d <br />e) <br />f <br />1 <br />1040 <br />12/31/2002 <br />506 -66 -5601 <br />06/02/2003 <br />07/02 /2013 <br />9199135 <br />I <br />I <br />i <br />I <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Total <br />$ 9199.5 <br />Grand Island, NE 68802 -1692 <br />i <br />This notice was prepared and signed at ST PAUL, MN <br />on this, <br />I <br />the 19th day of August 2003 <br />Sig Title I <br />TECH SUPP MGR 29 -97 -6842 <br />for KATHLEEN M. KELM (651) 312 -7972 <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. 71.485, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 10-00) <br />Part t - Kept By Recording Office <br />CA ?, NO 6002 5X <br />1 <br />V <br />1, <br />1 <br />V <br />