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1 <br />Form 668 (Y)(c) <br />(Rev. February 20041 <br />3595 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien 201306185 <br />Area: <br />SMALL BUSINESS/SELP EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 629 -3903 <br />Serial Number <br />951027013 <br />For Oprional Use by Recording Office <br />YE <br />9913720024 <br />FF <br />FllFlied: <br />Sac <br />of S <br />O7/ 07/31/2013 <br />.t. <br />J <br />John <br />-5 <br />IN <br />6.1. <br />11 ;61 <br />- UCC <br />Pga <br />AM <br />Fr i <br />. <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 Ilen 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 penaides, interest, and costs that may accrue. <br />Name of Taxpayer TIM J DENMAN <br />Residence 7773 W ALDA ROAD <br />ALDA, NE 68810 -9633 <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 />Tax Period <br />Ending <br />(b) <br />Idendfying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Refilling <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />1040 <br />1040 <br />12/31/2006 <br />12/31/2007 <br />XXX -XX -9943 <br />XXX -XX -9943 <br />11/19/2007 <br />08/25/2008 <br />12/19/2017 <br />09/24/2018 <br />14438.92 <br />27956.55 <br />• <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total. <br />Grand Island, NE 68802 -1692 <br />$ 42395.47 <br />Jul. 31. 2013 3:17PM NE Secretary of State — UCC <br />f <br />No. 0182 P. 3/3 <br />This notice was prepared and signed at CHICAGO, 1L , on this, <br />the <br />Signature <br />23rd day of July 2013 <br />for G.J. CARTER -LOUIS <br />Title <br />ACS SBSE <br />(800) 829 -3903 <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. 4091 Form 669(10(e) (Rev. 2- 2004) , <br />CAT. NO B(1O2RX <br />Part 1 - Kept by IRecerdles Office <br />24 -00 -0008 <br />