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O6/25/2012 MON 15:15 FAX 402 471 4429 UCC SECRETARY OF STATE ��� gall <br />1040 12j31/2008 XXX-XX-7944 05/07/2012 06/06/2022 <br />1.040 12/31/2011 XXX-XX-?944 05/28/2012 06/27/2022 <br />�� 6as mc�� <br />tRev. February 2004! <br />Department of the Treasury - Intemal Revenue Service 2 012 Q 514 G <br />Notice of Federal Tax Lien <br />Area: Seriai Number <br />SMALL BIISINE3S/SLI,F SMPLOYED AREA #4 <br />Lien Unit Phone (800) 913-6050 874651012 <br />As provided by section 6321, 6322, and b323 af the Internal Revenne , <br />Code, we are g�viutg a notace that tax� (includ'mg interest and penalti�s) � <br />have been assessed against the follovumg-nan�ed taxpayer. We have made � <br />a demand for payment of this l�ability, but it remains unpaid. Therefore, <br />there is a lien in favor of the tinited States on all property and rights to <br />property.belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer RONALD KING <br />Residence 2615 W CHARLES ST <br />GRAND ISLAND, NE 68803-5702 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-Z692 <br />1MPORTANT RELEASE 1NFOkMATION: For each assessmerrt Iisted beiow, <br />unless notice of the lien is refiled by the date given in coiumn (e), this notice shall, <br />on the day following such date, operate as a certiticats ot release as defined <br />in IRC 6325iaf. <br />Tax Period Date of Last Da�r far <br />Kiuid of Tax Ending fdendfjimg Namber Ass�sment Refiling <br />2984.18 <br />98.31 <br />'l <br />t <br />E <br />� <br />i <br />i� <br />i <br />Place of Filing <br />3082.49 <br />Fo� Optional Use by Recording Office <br />�005�00� <br />2012 '10:48 RM <br />llnpaid Balaece <br />of Assessment <br />Total � $ <br />7his notice was prepared and signed at �zCA.GO IL <br />the 13 th day of June 2 012 <br />Signature � �� <br />� � <br />for DANTELLE L MUELLER <br />, on this, <br />Title <br />REVENUE OFFICER 24-10-1720 <br />(402) 473-4675 x29].2 <br />(NOTE: Cettificate of officer authorized by taw to take acknowledgment is not essential to tha validity of Natice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(»(t) tRev. 2-2004) <br />Part 1- Kept By Recording OHlce CA7. NO 60025X <br />