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12/31/2012 MON 12:56 FAX 402 471 4429 UCC SECRETARY OF STATE <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />3592 <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #(4 <br />Lien Unit Phone: (800) 829 -3903 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the following -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 United 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 MICHAEL T KUNZE <br />Residence <br />IMPORTANT RELEASE INFORMATION: 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 certificate of release as defined <br />in IRC 6325(a). <br />Kind of Tax <br />(a) <br />1040 <br />Place of Filing <br />12/31/2006 XXX -XX -0342 <br />` \fit <br />for G.J. CARTER -LOUIS <br />Tax Period <br />Ending Identifying Number <br />(b) c) — <br />Serial Number <br />1204 KENNEDY DR <br />GRAND ISLAND, NE 68803 -3468 <br />Date of <br />Assessment <br />(d) <br />02/28/2011 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />912658112 <br />Hall <br />Department of the Treasury - Internal Revenue Service <br />2 Notice of Federal Tax Lien 211 U <br />Last Day for <br />Refilmg <br />(e) <br />For Optional Use by Recording Office <br />NE <br />03/30/2021 <br />Total $ <br />See of Siete John A Gala - UCC <br />9912705484 -8 Pgs: <br />KUNZE MICHAEL T <br />Filed: 12/3 /2012 10:40 AM <br />Unpaid Balance <br />of Assessment <br />(f) <br />This notice was prepared and signed at CHICAGO, IL <br />the 18th day of December 2012 <br />Signature Title <br />ACS SBSE <br />(800) 829 -3903 <br />J003/006 <br />33900.62 <br />33900.62 <br />, on this, <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) (Rev. 2 - 2004) <br />Part 1 - Kept By Recording Office CAT. NO 60025X <br />24 -00 -0008 <br />FL <br />