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10/03/2012 WED 14:49 FAX 4p2 471 4429 UCC SECRETARY OF STATE -��y Hall <br />orm 668 (Y)(c) <br />4Rev. February 2004f <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax L�en 2 012 0 8 2 5 5 <br />Area: Seriai Number For Optianal Use by Recording Office <br />SMALL BIISINESS/SFLF' EMPLOYED AREA #4 <br />Lien Unit Phone; (800) 913-6050 895119412 <br />At provided by se�tion 632], 6322, and 6323 of the Internal Revenue <br />Code, we are gi+rfu►g a notice that taxes (including interest and penalties) <br />have been assessed agaimst tlte foQowing-itamed taxpayer. We have made <br />a demand for paymeet of tlu�s liability, but �t remains unpaid. Therefore, <br />there is a lien in favor of the Onited States on all property and ri�hu w <br />property belonging w this taxpayer for the amount of these taxes, aed <br />additional penalties, nmterest, and c�ts ti�at may accrue. <br />STEPHANIF J ENEVOLDSSN MBR <br />Residence 1209 ALLEN DR <br />GRAND ISLAND, NE 68803-3333 <br />IMPORTANT RELEASE iNFORMATION: For each assessment listed below, <br />u�less notice of the lien is refiled by the date given in column ie), this notice shall, <br />on the day following such date, operate as a certificate of release as defi�ed <br />in IRC 6325(a). <br />Tax Period Date of Last Day for <br />Kfind of Tax Ending ldentifying Nwnber Assessment R,etiling <br />941 I06/30/2011I 38-3736006 I10/03/2011� 11/02/2021 <br />941 09/30/2011 38-3736006 Ol/09/2012 02/08/2022 <br />P1ace of Fiiing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />1�003/003 <br />STUDIO LLC <br />03/2012 01:30 PM <br />llnpaid Balante <br />of Assessment <br />10987.66 <br />12562.08 <br />Total �$ 23549.74 <br />This notice was prepared and signed at CHICAGO� IL <br />the 2dt �' day of September 2012 <br />, on this, <br />Signature � C�� <br />� � <br />for DANIFsLLE L MUELLER <br />7itle <br />REVPNUE OFFICER 24-10-1720 <br />(402) 473-46 x2912 � <br />(NOTE: Certificete of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federai Tax lien <br />Rev. Rul. 71-466, 1971 - Z C.B. 409) Form b68(Y)(c) (Rev. 2-2004) <br />Part 1- Kept By Itecordiag Off3ce CAT. NO 60025X <br />, <br />i <br />I <br />