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iJ) 03/11/2005 12:13 FAX 14024714429 NEBRASKA UCC Q003/003 This notice was prepared and signed at the 25th day of February 2005 ST PAUL, MN on this, Signature Title REVENUE OFFICER 29 -10 -2339 for KAY PONTE 1 (308) 384-6667 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 71-466,1971 - 2 C.B. 409) AT Form 668( (Rev. 2-2 Part 1 - Kept By Recording Office CAT. Na 60025X 5X '5 1872 Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service ' 200502146 Notice of Federal Tax Lien (Rev. February 2004) Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS /SELF EMPLOYED AREA #9 Lien Unit Phone: (651) 312 -8080 216027705 s.c �. �. - ucc Fn M er s 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 gg053s347a -2 pus: i additional penakles, interest, and costs that may accrue. FRS d: 03/T10 2005 03:4t PM Name of Taxpayer WHITNEY C DRAKE Residence 2323 BELLWOOD DR 110 GRAND ISLAND, NE 68801 -6205 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). Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refilling of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/2000 5.05 -88 -7449 08/13/2001 09/12/2011 5968.54 1040 12/31/2001 505 -88 -7449 07/01/2002 07/31/2012 1993.81 1040 12/31/2002 505 -88 -7449 06/02/2003 07/02/2013 1040 12/31/2002 505 -88 -7449 11/01/2004 12/01%2014 6097.79 1040 12/31/2003 505 -88 -7449 08/09/2004 09/08/2014 7318.73 Place of Filing Register of Deeds Hall POBOX 1692 Total $ 21378.87 Grand Island, NE 68802 -1692 This notice was prepared and signed at the 25th day of February 2005 ST PAUL, MN on this, Signature Title REVENUE OFFICER 29 -10 -2339 for KAY PONTE 1 (308) 384-6667 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 71-466,1971 - 2 C.B. 409) AT Form 668( (Rev. 2-2 Part 1 - Kept By Recording Office CAT. Na 60025X 5X '5