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03/08/2012 T8U 14:33 FAX 4p2 471 4429 UCC SECRETARY OF 5TATE -+-+� 9a11 <br />3592 <br />Department of the Treasury - Iniernal Revenue Service <br />orm 668 (Y)(cj <br />�ReY. �b�rv 2�► Notice of Feder.�4 T� Li�� <br />A�ea; Serial Nuinber <br />3MALL BIISINRSSfSELF fiMPLOY�D AREA #4 <br />Lien Unit Phone: (800) 829-3903 851429112 <br />As provided by section 6321, 6322, and 6323 of the fnterna! Revenue <br />Code, we are gnring a notice that taxes (including interest and penaleies) <br />have been assessed against the following�nnamed taxpayer. We have made <br />a demand for payment of this .liability, but it remains unpaid. Ther�fore, <br />tNere is a lien in favor of t6e llnit+ed States on at! property and rights w <br />pwperty belonging w this taxpayer for the amount of tl�� taxes. �nd <br />additional penaldes, interest, and costs that may aurue. <br />Name of Taxpayer LAVERN E& KAREN A CLINE JR <br />Residence 2407 SHERIDAN AVE <br />� GRAND ISLAND, NE 68803-1958 <br />Ne seo <br />CLI I� <br />Filed: <br />IMPORTAN7' RELEASE IN�ORMATIAN For each assessment listed below, <br />uM�s 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 certiticate of re{ease as defined <br />in IRC 6325(a). <br />Tax Period Date of i.�st Day for <br />Kind of Tax Ending Identifying Nurober As�ess�ea�t Reffii'm� <br />1040 .12/31�/2007 XXX-XX-9339 02/28/2011 03�30/2021 <br />1040 12/31/2008 XXX-XX-9339 02/28/2011 03/30/2021 <br />1040 12/31/2009 XXX-XX-9339 04/18/2011 05/18/2021 <br />Place of Fi(ing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-I692 <br />oN�e <br />2012 11:27 pM <br />!lea�►a6d BaDatce2 <br />o� Asyessment <br />36584.7:� <br />1�5565.27 <br />1Q315.87 <br />��120�.�20 <br />For <br />Total �$ 6?4G5.87 <br />This notice was prepared and signed at �ICAGO, IL <br />the 2 day of February 201.2 <br />, <br />, on this, <br />Signature Title <br />� �` ACS SBSE 2a-�0-00a8,, <br />for MICHAEL W. COX (800) 829-3903 . <br />(NOTE: Certificate of officer authorized by faw to take acknowledgment is not essential to the validity nf Notice uf Federa{ Tax lien � <br />Rev. Rut. 7i-466, 1971 - 2 C.B. 409► Form �68(Y)(t) (Req. 2-20Q4) <br />Part f- Kept By Recording �ffice C:A'T. 14p r��025X <br />�003/005 <br />i. <br />� '. <br />