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OS/22/2012 ��TSD 15:22 FAX 402 471 4429 UCC SECRETARY OF STATS �-�-� 8a11 <br />�looa/oo5 <br />Form 668 (Y)(c) <br />�ae�. �ebtie�y zooai <br />Dep.artment of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien � 0� 2 0 6 9 7 5 <br />Area: Serial Number <br />SMALL BUSINESS/S&LF I`sMPLOYED ARFsA �4 <br />Lisn Unit Phone: (800) 913-6050 886918812 <br />As provided by section 6321, 6322, and 6323 of the Interna! Revenue <br />Code, we are giving a eotice that taxes (including interest and penalties) <br />have been assess�d against the foIIowing-named taxpayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there is a lien in favor of the llnited States on all property and rights to <br />property belonging to this taupayer for the amount of these taxes, and <br />additional penaities, interest, and costs that may accrue. <br />of Taxpayer LENNY D & <br />Residence 40 VENUS ST <br />ALDA, NE 68810-9744 <br />For Optional Use by Recording Office <br />NE See oi Skele John ii fUle - UCC FTL <br />9912697943-1 Pys: 1 <br />WALLACE LENNY D <br />Filed: 08/22/2012 08:56 AM <br />tMPORTANT RELEASE INFORMAT[OAI 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 certiflcate of release as defined <br />in IRC 6325(a). ' <br />Tax Period � Date of tast Day for <br />Kind of Tax Ending ldentifying Number Assessment Refiling <br />104Q I12/31/2009I XXX-XX-7952 I03/19/2012� 04/18/2022 <br />1040 12/31/2011 XXX-XX-7952 07/23/2012 08/22/2022 <br />Place of Filing <br />Unpaid Balance <br />of Assessment <br />2431.80 <br />4100.28 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-16 <br />Tota) �$ 6532.08 <br />This notice was prepared and signed at CHICAGO, IL <br />the 08 day of August 2012 <br />, on this, <br />Signature � �� <br />� � <br />for PAMELA J ROGERS <br />7itle <br />ACS W&I <br />(800) 829-7650 <br />14-00-0000 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B, 409) Form 668(Y)(c) 1Rev. 2-2004) <br />Part 1- Kept By [tecording Offlce CAT. NO 60025X �� <br />� <br />