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<br />05/10/2006 13:31 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />141 015 <br /> <br />20.0604152 <br /> <br />1872 <br /> <br />Form 668 (Y)(c) <br />(Rev" February 2004) <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (BOO) 913-6050 288601506 <br /> <br />As prov,ided 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 /> <br />Name of Taxpayer MARK TRACY <br /> <br />, For Optional Use by Recording Office <br /> <br /> <br />9906452442-1 Pss; 1 <br />TRACY MRRK <br />Filod, 06/08/2006 03:02 PM <br /> <br />Residence <br /> <br />611 S WASHINGTON <br />GRAND ISLAND, NE 68801-6625 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below,' <br />unless notice of the lien is rellled 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 /> <br /> Tax Period Date of Last Day for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refihng of Assessment <br />(a) (b) (c) (d) (e <br />1040 12/31/2001 XXX-XX-1364 04/19/2004 05/19/2014 6211.95 <br />1040 12/31/2002 XXX-XX-1364 09/20/2004 10/20/2014 14143.33 <br />1040 12/31/2003 XXX-XX-1364 10/25/2004. , 11/24/2014 <br />1040 12/31/2003 XXX-XX-1364 02/13/2006 03/14/2016 18609.41 <br />1040 12/31/2004 XXX-XX-1364 11/14/2005 12/14/2015 6542.37 <br /> <br />, Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />, 45507.06 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />03rd day of May <br /> <br />2006 <br /> <br />the <br /> <br />Signature <br /> <br />Title <br />TXPYR RES REP <br />for CLAIRE M NICHOLAS, (308) 532-7511 <br /> <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 />lJ"r+ 1 _ lC....t Rv Il..cnrdintil' Office ("liT "If) Rnn7fiX <br /> <br /> <br />14-02-1504 <br /> <br />ill) <br />