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01/26/2005 17:08 FAX 14024714429 NEBRASKA UCC Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service (Rev. February 2004) )Notice of Federal Tax Lien Area: Serial Number For Option SMALL BUSINESS /SELF EMPLOYED AREA 49 Lien Unit Phone: (651) 312 -8080 209771605 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. Name of Taxpayer DOUGLAS W MCTAVISH Residence 217 W 12TH GRAND ISLAND, NE 68801 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), IA 005/006 200500698 I Use by Recording Office FTL I 1 � Kind of Tax Tax Period Ending Identifying Number Date of Assessment Last Day for Refiling Unpaid Balance of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/2001 506 -72 -9532 12/02/2002 - 01/01/2013 33338.32 1040 12/31/2002 506 -72 -9532 04/28/2003 05/28/2013 16634.19 Place of Filing Register of Deeds Hall POBOX 1692 Total $ Grand Island, NE 68802 -1692 This notice was prepared and signed at the 18th day of January 2005 ST PAUL, MN 49972.51 , on this, Signature / Title CASE PROC MGR 29 -98 -6901 for BETTY BUCHAN (651) 312 -7836 (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) Form 668(Y)(c) (Rev. 2 -2004) Part t - Kept By Recording Office CAT. NO 60025X VIII