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02/O1/2012 p1ED 15:20 FAX 402 471 4429 UCC SECRETARY OF STATE yy-� Hall <br />1 <br />� <br />Form 668 (Y)(c) <br />(Rev. February 2094) <br />3 <br />Department of the Treasury - Intemal Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number <br />SMALL BIISINI3SS/SELF EMPLOYID AREA #4 <br />Lien Unit Phone (800) 913-6050 843966312 <br />As provided by section 632 t, 6322, and 6323 of the Iteternal Revenue <br />Code, we are givimg a notice that taxes (inclad'mg interest and penalties) <br />have been assessed agamst the foltowing-named taxpayer. We have made <br />a demand for payment of this liability, bat it remains unpaid. Thee�fore, <br />t6ere is a lien in favor of the united States on all property and rig6cs to <br />property helonging to this taxpayer for the amow�t of these taxes, and <br />additional pena[ties, interest, and costs that �ay accrue. <br />& MASER, a <br />Residence ' 220 OXNAR.D AVE <br />GR.AND ISLAND, NE 68801-6782 <br />For <br />�003/004 <br />2U12U0851 . <br />Usa by Recording Office , <br />N6 See Of Sta1e Joh� p C{e�e - UCC GTL <br />9912683968-7 P9s: 1 <br />TRUELL MURRAY & AIASER, A PRRTN <br />Filed: �2/01/2012 02:16 P(7 <br />IMPORTANT RELEASE 1NFORAIATION For each assessment listed below, <br />unless notice of the lien is refifed by the cJate given in column let, this notice shall, <br />on the day following such date, operat� as a certificate of release as defined <br />in IRC 63251a1. <br />Tauc Period Date of d,ast Day for <br />Kind of Tax Ending ldenti�jring Number Assessment Refil'�ng <br />1065 I12/31/2010I 27-5405920 I01/U2/2012� 02/O1/2022 <br />941 09/30/2011 27-5405920 O1/02/2012 02/01/2022 <br />Place of Filing <br />linpaid Ba[ance <br />of Assessneent <br />780.00 <br />6445.18 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total �$ 7225.18 <br />This notice was p�epared and signed at <br />the 20th day of January <br />CHICAGO, IL <br />2012 <br />, on this, <br />Signature Title <br />��` REVENL7E OFFICER 24-10-1720 <br />for DANIELLE L MIIELLE (402) 473-•�6?5 x2912 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the vatidity oF Notice of Federal Tax�lien <br />Rev. Rul. 71-466, 1977 - 2 C.B. 409) � Form 668(Y)(c) (Rev, 2-20 ) <br />Part 1- Kepc By� Recording Office CA7. NO 6o0z5X `, <br />