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11/13/2003 15:56 FAX 14024714429 NEBRASKA UCC <br />Form 668 (Y)(c) <br />(Rev. October 2000) <br />Department of the Treasury - Internal Revenue Service <br />Notice Of Federal Tax Lien <br />Area: Serial Number For Optiona <br />SMALL BUSINESS /SELF EMPLOYED AREA ##9 <br />Lien Unit Phone: (651) 312 -8080 142779903 <br />As provided by section 4321, 6322, and 6.323 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 is 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 penahies, interest, and costs that may accrue. <br />lame of Taxpayer MARILYN F PAIDER <br />Residence 224 NEST LN <br />GRAND ISLAND, NE 68803 -70C9 <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 shell, <br />on the day following such date, operate as a certificate of release -as defin6d <br />In IRC 6325(8). <br />1a003/003 <br />2003.14951 <br />Use by Recording Office <br />land of Tax <br />Tax Period <br />Ending <br />Identifying Number <br />Date of <br />Assessment <br />Last Day for Unpaid Balance <br />Refiling <br />a <br />b) <br />C) <br />d) <br />of Assessment <br />e) <br />1040 <br />12/31/1995 <br />507 -70 -2286 <br />02/24/2003 <br />f) <br />03/26/2013 9795.64 <br />1040 <br />12/31/1997 <br />507 -70 -2286 <br />02/24/2003 <br />03/26/2013 8262.93 <br />dace of I-)Iing <br />Register of Deeds <br />Hall POBOX 1692 Total $ 18058.57 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at ST PAUL, MN <br />on this, r <br />the 07th day of November 2003. <br />t �' <br />Signature , Title <br />.1 ACS <br />-or S KILPAttF�x'CI'Y (800) 829 -3903 29 -OC =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.B. 409; <br />Part t - Kept By Recording Office Form 668(Y)(c) (Rev. 10 -00) <br />CAT. NO 60025X <br />