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11/01/2012 THU 15:20 FAX 402 471 4429 UCC SSCRETARY OF STATE ��~ Hall <br />Form 668 (1�(c) <br />(Rev. February 2004) <br />Area; <br />WA(3E & INVESTMENT ARF�A #2 <br />Department of the Treasury • Internal Revenue Service <br />Notice of Federal Tax Lien � U� 2 U J� 6� <br />Serial Number For Optional Use by Reco�ding Offu <br />L ien Unit Phone (800) 829-7 I 900327712 <br />As provided by section 6321, 6322, and 6323 of the leternal Revenae <br />Code, we are giving a notice that taxes (including 6rterest and penalties) <br />have been assessed agafnst the foQowu�g-named t�a�cpayer. We have made <br />a demand for papment of this liability, bat it remains unpaid. Therefore, <br />there is a tien im favar of the W�it� States on aU property and rights to <br />property 6elongimg to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs t�at may aarue. <br />Name of Taxpayer DALE C RAUCH <br />Residenca 105 N WETZEI� ST <br />GRAATD ISL�3ND, NE 68$01-8442 <br />IMPORTANT RELEASE INFORMATI�N For each assessment listed below, <br />unless notice of the tien is refiled by the date given in column (e), this notice shall, <br />on the day following such date, operete as a certificate of release as detined <br />in IRC 6325(a). <br />Tax Period Date of Last Day for <br />Kind of Ta�c End'a�g Identifying l�tumher Atsessme� Reflling <br />1040 12/31/2006 XXX-XX-9592 �08/17J2009I 09/16/2019 <br />0 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Unpaid Balance <br />of Assessment <br />5427.84 <br />7otal �$ 5427.84 <br />This notice was prepared and signed at <br />the 17th day of October <br />Tltle <br />ACS W&I <br />(8Q0) 829-7650 <br />CHICAGO, IL <br />2012 <br />Signature ��� <br />� � <br />f�r pAMELA J ROGERS <br />, on this, <br />14-00-0000 <br />i <br />(NOTE: Certificate of officer authorized by law ta take acknowledgmsnt is not essential to the validity of Notice of Federal Tex lien ; <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668{l�(t) 4Rev. 2-2004) � <br />Part 1- Kept By Recording OfHce CAT. NO 60025X <br />�ooz�oo5 <br />1/2012 09:41 AM <br />