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05/09/2012 WED 14:33 FAX 402 471 4429 UCC SECRETARY OF STATE ��-� Hall <br />Form 668 (ln(c) <br />(Rev. February 2004) <br />Department of the Treasury - Internal Revenus Service <br />Notice of Federal Tax Lien 2 012 0 3 7� 0 <br />Area: Serial Number <br />SMALL BIISINFsSS/STsLF EMPLOYED AREA #4. <br />Lien Unit Phone: (800) 913-6050 864266612 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we arc giving a notice that taxes (inc[uding interest and pena[tres) <br />have been assessed against the following-named taxpayer. We'have made <br />a demand for payment of this liability, 6ut it remains unpaid. Therefore, <br />there �S a lien in favor of the united States on atl property and r�g6ts to <br />property belonging to tl�is taxpayer for the amount of these taxes, and <br />additional penalti�, interest, and costs that may accrue. <br />Name of Taxpayer LYNN DE LOS ANGELES <br />Residence 3412 E COTTONWOOD RD <br />KFARNF.�( NE 68845-0608 <br />For Oational Use by Recording Office <br />IMP.ORTANT RELEASE INFORMATION For each assessment lis#ed below, <br />unless notice of the iien 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 6325ta). <br />Tax Period Date of Last Day for <br />Kind of Tax Ending IdentiFyb�g Number Assessment Refiling <br />6672 12/31/2009 XXX-XX-6176 08/15/2011 09/14/2021 <br />6672 03/31/201.0 XXX-XX-6176 08/15/2011 09/14/2Q21 <br />6672 06/30/2010 XXX-XX-6176 08/15/2011 09/14/2021 <br />6672 09/30/2010 XXX-XX-6176 08/15/2Q11 09/14/2021 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />�003/003 <br />llnpaid Batance <br />of Assessment <br />14017.51 <br />16731.72 <br />18165.04 <br />11111.57 <br />Total �$ 60025.84 <br />This notice was prepared and signed at <br />the 26th day of April <br />2 012 <br />CHICAGO, IL <br />, on this, <br />Signature � �� <br />� � <br />for CAROI, HAT,T, <br />Title <br />REVENUE OFFICER <br />(4U2) 473 -4673 <br />24-10-1732 <br />� <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validiry ot Notice of Federal Tex lien `, <br />Rev. Rul. 71-466, 9971 - 2 C.B, 409) � <br />Form 668(n(t) (Rev. 2-2004) `•.,� <br />Part i- Kep! By Recording Office CAT. NO 6002bX <br />DE LOS ANGEL.ES LY►JN r991 <br />Filed: 05/0g/2p�p 10:39 q(q <br />