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NEBRASKA Dee 14I 002/003 06/08/2006 16:11 FAX 14024714429 200605155 ~ Forno &&8 (Y)(c) (!lev. February 20041 1872 Department of the Treasury ~ Internal Revenue Servic::e Notice of Federal Tax Lien Area: Serial Number SMALl. BUSINESS/SELF EMPLOYED AREA #4 Lien Unit Phone: (BOO} 913-6050 294449406 As provided by section 632., 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 JIM K KEESHAN For Optional Use by Recording Office Residence 3860 W AIRPORT RD GRAND ISLAND, NE 68803-9705 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 Dal. for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refi mg , of Assessment (a) (b (c) (d) : (el (f) 1040 12/31/2001 XXX-XX-1420 '02/06/2006 03/07/2016 11277.99 1040 12/31/2003 XXX-XX-1420 02/06/2006 03/07/2016 4238.95 Place of Filing Register of Deeds Hall POBOX 1692 Grand Island" NE 68802-1692 Total $ 15516.94 This notice was prepared and signed at ST PAUL, 'MIiJ', , on this, the 31st day of May 2006' Signature for KAY PONTE Title REVENUE OFFICER (308) 384-4850 24-10-2339 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validitY of NotiCB of Federal Tax lien Rev. Rul. 71-466,1971 - 2 C.B. 409) Part 1 . Kept By Recordini Office Form 668(Y)(e) (Rev. 2-2004) CAT. NO 60025X 'r-- ....., X\.