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6 <br />01/14/2005 16:44 FAX 14024714429 NEBRASKA UCC <br />3 <br />Department of the Treasury - Internal Revenue Service <br />Form 668 (Y)(c) <br />(Rev. February 2004) Notice of Federal Tax Lien <br />Area: Serial Number I For Options <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (651) 312 -8080 207597305 <br />As provided by section 6321, 6322, and 6323 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 penalties, interest, and costs that may accrue. <br />Name of Taxpayer WILLIAM P & NANCY M BUCHTA <br />Residence 1819 N TAYLOR <br />GRIND ISLAND, NE 68803 -2637 <br />10003/004 <br />200500463 <br />Use by Recordina Office <br />m <br />i <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 shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). . <br />Tax Period Date of Last Day for <br />Kind of Tax Ending Identifying Number Assessment Refiring <br />1040 12/31/2000 <br />1040 12/31/2001 <br />1040 12/31/2002 <br />1040 12/31/2003 <br />I <br />Place of Filing <br />(c) (d) <br />508 -58 --9719 <br />02/03/2003 <br />508 -58 -9719 <br />06/10/2002 <br />508 -58 -9719 <br />05/26/2003 <br />508 -58 -9719 <br />05/31/2004 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 04th day of January 2005 <br />ST PAUL, MN <br />(e) <br />03/05/2013 <br />07/10/2012 <br />06/25/2013 <br />06/30/2014 <br />Total 1$ <br />Unpaid Balance <br />of Assessment <br />1239.40 <br />3385.94 <br />2198.58 <br />976.89 <br />7800.81 <br />on this, <br />Signature f I Title <br />ACS 29 -00 -0008 <br />for S KILPATRICK (800) 829 -3903 <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. 7.1 -466, 1971 - 2 C.B. 409) <br />Part 1 - Kept By Recording Office Form 668(X .AT (Rev. 2-2004) X <br />8 f'AT. NO 60025X <br />