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07/05/2006 16:23 FAX 14024714429 NEBRASKA Dee ~ 003/003 ~l.,- !-.....~ l Form 668 (Y)(C) (Rev. February 2004) 1872 Department of the Treasury - Internal Revenue Service Notice of Federal Tax Lien Area: Serial Number SMALL BUSINESS/SELF EMPLOYED AREA #4 Lien Unit Phone: (800) 913-6050 299764606 As provided by section 6]21, 6]22, and 6]2], of the Internal Revenue Code, we are givin, a notice that taxes (including interest and penalties) have been assessed against the following-named taxpayer. We have made a demand for payment of this liability, but it reniains unpaid. Therefore, , there is a lien in favor of the United States on all property and rights to property belonging to this taxpayer for the amount of these taxes, and additional penalties, interest, and costs that may accrue. Name of Taxpayer TRACY A MARKHAM For Optional Use by Recording Office ~~~0t~~ih~16 1112:44 PI'! Residence 355 N PINE ST STE 101 GRAND ISLAND, NE 68801-4667 200605989 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the lien is refiled by the date given in column (e), this notice shall, on the day following such date, operate as a certificate of release as defined in IRe 6325(a): Tax Period Date of ~ Ditfor Unpaid Balance Kind of Tax Ending Identifyin, Humber Assessment Refi B of Assessment (a) (b) (c) (d) (e) . , (I) 941 09/30/2004 47:-0845288 01/10/2005 02/09/2015 2893.11 941 03/31/2005 47-0845288 03/20/2006 04/19/2016 1293.22 941 06/30/2005 47-0845288 03/20/2006 04/19/2016 1618.00 941 09/30/2005 47-0845288 03/20/2006 04/19/2016 24,66.84 ,941 12/31/2005 47-0845288 03/27/2006 04/26/2016 4007.38 Place of Filing Register of Deeds Hall POBOX 169'2 Grand Island, NE 68802-1692 Total $ 12278.55 This notice was prepared and si9ned at ST PAUL, MN I on this, the 28th day of June 2006 Signature Title REVENUE OFFICER for PAT KELLOGG (308) 384-4850 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) -Form 66B(Y)(c;) (Rev. 2-2004) Pan 1 - Kept By Recordin, omu CAT. NO 60025X 24-10-2341 [: