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12!04/2003 11:50 FAX 14024714429 NEBRASKA UCC Department of the Treasury - Internal Revenue Service Form 668 M(c) Wotice of Federal Tax Lien {Ray. October 2000! Araa: Serial Number WP.GE & INVESTMENT AREA ##5 Lien Unit Phone: {800} 829 -7650 145752703 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. Narrie of Taxpayer u'ULIO E PAGAN Residence 822 S SYCAMORE GRAND.ISLAND, NE 68801 -7957 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless novice of the lien is refiled by the date given in column is), this notice shall, on the day following such date, operate as a certificate of release as defined in IRC 6325(a). 0003 For Optional Use by Recording Office No i.r 81 94448 - UCC FTL 9963308684 -0 Poo 1 PAGM JULIO E Filed: 121es/2003 01:14 PM Tax Period Date of Last Day for Kind of Tax Ending Identifying Number Assessment Refilling (a) (b) 1 (c) I (d} (e) -040 12/31/2000! 582 -57 -6423 104/15/2001 05/15/201 -- 1040 12/31/200011 582 -57 -6423 04/21/2003 05/21/2013 Place of Fi ing Register of Deeds Hal' POEOX 1692 Total $ Grand Island, NE 68802 -1692 This notice was prepared and signed at ST PAUL, MN the 27th day of November 2003 200315712 Unpaid Balance of Assessment 8509, 6I 6509.61 on this, r Signature •� °k q{ Title I,S -01-0000 #' ACS — iCr B STRG'DEL ('800) 829 -7650 (NOiE: Certificate of officer authorized by law to take ackno0edgment is net essential to the validity of Notice of Fedarai i ax lien Rev. Rul. 71 -466, 1971 • 2 C.B. 409) _ Form 668(17(() (Rev_ 10 -00)