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Jan. 6, 2015 3:17PM NE Secretary of State — UCC <br />Form 668 (Y)(s) <br />(Rev. Febeuery 20041 <br />Area: Serial Number <br />SMALL BUSINESS /SELF EMPLOYED AREh #4 <br />Lien Unit Phone; (800) 829 -3903 136705214 <br />As provided by section 6121, 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 Hen In favor of the linked States on al 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 LAURA HOBBS <br />Residence <br />IMPORTANT RELEASE INFORMATION, For each assessment listed below, <br />unless notice of the lien is refilled by the data 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 6326(a). <br />Kind of Tax <br />(a) <br />1040 <br />1040 <br />Place of Filing <br />the <br />Signature <br />14582 <br />for G. J. CAR�IIIS <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />1374 WORMS RD <br />GRAND ISLAND, NE 68801 -9381 <br />Tax Period <br />(b) Ending <br />12/31/2008 <br />12/31/2010 <br />■ <br />Identifying Number <br />(c) <br />X]C C -XX -1256 <br />x -X2C -1256 <br />Date of <br />Assessment <br />(d) <br />02/10/2014 <br />02/10/2014 <br />Register of Deeds <br />roll POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />25th day of December 2014 <br />l Wry it <br />(a) <br />03/11/2024 <br />03/1 <br />Title <br />ACS SBSE <br />(800) 829 -3903 <br />Part 1 - Kept nny Raeardii OKke <br />No, 3521) <br />4/5 <br />For Optional Use by Recording Office <br />NE Sma of Ei.te Jah,, a mole - UCC Fri <br />IIIIHHIIII <br />9915747 5-i Ara: 1 <br />Fi 9111612015 le;66 AR <br />201500123 <br />UliWamm <br />of�Alsiesanent <br />CO <br />20734.41 <br />20590.95 <br />Total $ 41325.36 <br />This notice was prepared and signed at CHICAGO, IL on this, <br />24 -00 -0008 <br />(N[ re Crtiricete of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -sea, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2 -20041 <br />CAT. NC 60025X <br />