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<br />04/16/2007 HON 15:26 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~003/004 <br /> <br />Of) <br /> <br />Form 668 (Y)(e) <br />(Rev" Februarv 20041 <br /> <br />12414 <br /> <br />Department of the Treasury - Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />200703058 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />lien Unit Phone: (800) 829-3903 356834007 <br /> <br />As provided by section 632 I, 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 Uilited States on all property and rights to <br />property belonging CQ this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br /> <br />Name of Taxpayer TODD D PAPE <br /> <br />For Optional Use bv Recording Office <br /> <br />II"",,}, <br /> <br /> <br />Pt:/PE TOOD 0 PSIs: 1 <br />FlIed: 04/16/2007 03 <br />:00 PM <br /> <br />Residence <br /> <br />3720 STATE ST APT J3 <br />GRAND ISLAND, NE 68803-2368 <br /> <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 /> <br />Kind of Tax <br />(a) <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2002 <br /> <br />Identifying Number <br />(e) <br />XXX-XX-3203 <br /> <br />Date of <br />Assessment <br />(d) <br />10/24/2005 <br /> <br />Last Day for <br />. Refillng' <br />(e) <br />11/23/2015 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />6287.89 <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 />6287.89 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />06th day of April <br /> <br />2007 <br /> <br />the <br /> <br />Signature <br /> <br /> <br />Title <br />ACS <br />(800) 829-3903 <br /> <br />24-00-0008 <br /> <br />for REGINA OWENS <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.8. 4091 Form 668(Y)(c) (Rev. 2.2004) , I /' <br />Part i-Kept By Recording Office CAT. NO 60025X r <br />