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04/04/2012 WED 15:22 FAX 402 471 4429 UCC SSCRETARY OF 5TATS �-�� Hall <br />Form 668 (Y)(c) <br />iRev. February 20041 <br />*** AMENDMENT '�** AMENDMENT *** AMENDMENT �** <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Li�� <br />Area: . Serial Number ! <br />SMALL SII5INESS/STLF BMPLOYED AREA #6 <br />Lien Unit Phone: (8�0) 913-6050 856901012 <br />As provided by section 6321, .d322, and 8323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including int�erest and penalties) <br />6ave been assessed against 'the following eamed taxpayer. We have made <br />a demand for payment of this liabitity, biet it remaias unpaid. Therefore, <br />there is a lien in favor of th� unit�d States on aft prop�rty and ri$3�es to <br />pxoperty belonging w t�is taxpayer for the amount of these taxes, a�d <br />additiana� penalties, interest, �nd costs that m�y accea�e. <br />& <br />Residence 3415 C4NRAD DR <br />GRAND ISLAND, NE 68801 <br />For Ogtional Use by Recording Office <br />20120��4� <br />IMPORTANT RELEASE 1NF01ZIMAT1011: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(al. • <br />Tax � Date of Q.as� HDa� f�r <br />Kipd of Tax . Ending �dentifying Naonber �+ssessn�ent �e�dir� <br />1040 12i31i2006 XXX-XX=9153 03/�9/201U�. O�f2$/2�:�0 <br />Tl��is N tice of Fe eral Tax Lien is filed t� correct the <br />on the original 1 en recorded o 06/16/2U1. , a.�a Ha11., ]� <br />identi ication n er 665178910 recorded a Serial Numb <br />Number 9910630079 5 All nther informatio on the orig <br />is cor ect and th t instrument emains a.n ull force an <br />Place of Filing <br />Register of Deeds <br />Ha11 POBOX 1692 <br />Grand Island, AIE 68802-1692 <br />9338.5G <br />assessment dat;e <br />, serial <br />� 2010Q�192, t'TCC <br />nal notic� fil.ed <br />�ffect . <br />Total �$ 93 � S. 5 0 <br />This notice was prepared and signed at <br />the 22nd day of March <br />CHICAGO, XL <br />2012 <br />, on ttiis, <br />Signature �c` AC� SBSE �b-00-0008 <br />for MICHAEL W. COX (800) 829-3903 <br />(NOTE: Ce►tificete of officer authorized by law to take acknowledgment is not esaential to the valid'+r� af Notice ct FederAl T�x lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 4Q91 F�rm 638{�(t) IRev. 2-2t��A1 . <br />Parc 1- Kepc Br Recordie� Adfice C,�,3. �tc) F.i�c;��� <br />I�002/004 <br />p 6ale - UCC FTI.R <br />Pes: 1 <br />t 10:28 RM <br />�1n�ici [Salanc� <br />�of �4ssessa�e�� <br />