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IaJ 003 03/28/2007 15:35 FAX 14024714429 NEBRASKA Dee t~ Fonn668 (Y)(c) (Rev. February 2004) 12414 Department of the Treasury. Internal Revenue Service Notice of Federal Tax Lien 200702472 S . I N b For Optional Use by Recording Office Area: erla ' um er WAGE & INVESTMENT AREA #2 Lien Unit Phone: (800) 829-7650 352547507 As provided by ~ction 6321, 6322, and 6323 of the Internal Revenue Code, we are living a notice that taxes (induding Interest' and penalties) have been assessed against the following-named taxpayer. We have made a demand for payment of this liability, but k remains unpaid. Therefore," there is a lien in favor of the United Slates on aU property and rights to property beloneing to this taxpayer for the amount of these taxes, and additional penalties, interest, and costs that may acerue. Name of Taxp~yer RAY L GATZEMEYER Residence 663 FAIDLEY PL APT 3 G~D ISLAND, NE 68803-3476 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 Peripel Date of Last'Dart for Unpaid Balance Kind of Tax EDeline Identifying Number Assessment RefI mg , of Assessment (a b) c) d (e 1040 12/31/2001 XXX-XX-3452 07/31/2006 08/30/2016 7869.90 1040 12/31/2003 XXX-XX-3452 07/31/200'6 08/30/2016 3315.61 Place of Filing Register of Deeds Hall POBOX 1692 Grand Island, NE 68802-1692 Total $ 11185.51 This notice was prepared and signed at ST PAUL I MN , on this, the 20th day of March 2007 Signature Title ACS (800) 829-7650 12-00-0000 for DEBRA K. HURST (NOTE: Certificate of officer authorized by law to take acknowledgment Is not essentiBI to the validity of Notice ot Federal Tax lien Rev. Ru!. 71-466, 15171 - 2 C.B. 40511 Part t . Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004) CAT. NO 60025X . '.t'.