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05/31/2012 THU 13:53 FAX 402 471 4429 UCC SSCRETARY OF STATS ~~~ 9a11 <br />20120435� <br />Form 668 (Y)(cj <br />iRev, Fabtuary 2004) <br />359 <br />Area: � Serial Number <br />SN�,LL BIISINESS/SELF FMPLOYLD AREA #2 <br />Lien Unit Phone: (s00) 913-6050 869372012 <br />As provided by s�ction 6321, 6322, and 6323 of the internai Revenue <br />Code, we are giving a notice tiwt taxes {including ➢nterest and penalties) <br />have �een assessed against the following eamed taxQayer. We have made <br />a demand for payment of tltis liabi6ty, but it remains wpaid. Therefore, <br />there is a lien in favor of the United Stat� on all property and rigMts to <br />property belonging to th�s taxpayer for the amount of t�ese taxes, and <br />additionat �enaities, 6�terest, and costs that may accrue. <br />axpayer <br />Residence 1003 S LINCOLN AVBNITE <br />GRAND ISLAND, NE 68801 <br />l�ooz/oo2 <br />For Oational Use by Recording Office <br />NB Sac of S+ale John R 6ale - ULC FTL <br />9912693075-6 Pss: i <br />TAYLOR ,IRMES H II <br />Filed: 06/31/2012 09:35 AM <br />[MPORTANT RELEASE IN�ORMATION: For each assessment listed balow, <br />unless notice of the lian is refiled by the date given in column (e1, this notice shall, <br />on the day following such date, operate as a certificate of release as dafined <br />in IRC 6325fa). <br />Tax Perfod Date of I.ast Day for <br />Kind of Tax Ending Identiifying N�anber Assessment Refiling <br />1040 12/31/2006 <br />1040 12/31/2007 <br />1040 12�31/2008 <br />Title <br />REVENUE OFFICER <br />(717) 77 <br />� <br />0 <br />Place of Filing <br />Department of the Treasury - Internal Revenue Service <br />l�otice of FederaC Tax Lien <br />XXX-XX-2598 <br />XX%-XX-2598 <br />XXX-XX-2598 <br />08/O1/2011 08/31/2021 <br />08/01/2011 08/31/2021 <br />os/o�./ao�i 08/31/2021 <br />Register of Deeds <br />Hall POBOX �692 <br />Grand Island, NE 68802-1692 <br />Total {$ 252264.73 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the 2 �' $t day of May 2012 <br />, <br />Signature �`v-��� <br />� � <br />for DSNNIS P ZMIIDZIN <br />83134.12 <br />84587.54 <br />84543.07 <br />22-06-1441. <br />[� <br />(NOTE: Certificate of officer authorized by law to teka acknowledgment is not essential to tha validity of Notice of Federet Tax lien '` <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(t) (Rev. 2-2004) <br />Part 1- Kept B�r Recordfng Office CAT. NO 60025X <br />Ilnpaid Balance <br />of Asse.ssment <br />