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<br />05/04/2007 FRI 15:19 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />.~ <br />o Form 668 (Y)(c) <br />(Rev. Februarv 20041 <br /> <br />Residence <br /> <br />12414 <br /> <br />121003/003 <br /> <br />Department of the Treasury. Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />715 W 1ST ST APT 3 <br />GRAND ISLAND, NE 68801-5875 <br /> <br />200703676 <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />9907508246-4 Pes: 1 <br />BUSCHER CONEL J <br />Filed: 05/04/2007 02:21 PM <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 />Area: Serial Number <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 360603407 <br /> <br />A5 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 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 CONEL J BUSCHER <br /> <br />Kind of Tax <br />a <br />CIVP <br />CIVP <br />crvp <br />CIVP <br />crvp <br />CIVP <br />CIVP <br />crvp <br />crvp <br />CIVP <br />crvp <br /> <br />Place of Filing <br /> <br />Tax Period <br />Ending <br />(b) <br />03/31/2001 <br />06/30/2001 <br />09/30/2001 <br />12/31/2001 <br />03/31/2002 <br />06/30/2002 <br />12/31/2002 <br />09/30/2003 <br />06/30/2004 <br />09/30/2004 <br />12/31/2004 <br /> <br />Date of <br />Assessment <br />d) <br />02/27/2006 <br />02/27/2006 <br />02/27/2006 <br />02/27/2006 <br />02/27/2006 <br />02/27/2006 <br />02/27/2006 <br />.02/27/2006 <br />02/27/2006 <br />02/27/2006 <br />02/27/2006 <br /> <br />Identifying Number <br />c <br />XXX-XX-9802 <br />XXX-XX-9802 <br />XXX-XX-9802 <br />XXX-XX-9802 <br />XXX-XX-9802 <br />XXX-XX-9802 <br />XXX-XX-9802 <br />XXX-XX-9802 <br />XXX-XX-9802 <br />XXX-XX-9802 <br />XXX-XX-9802 <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802~1692 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />. on this. <br /> <br />the <br /> <br />Signature <br /> <br />24th day of April <br /> <br />2007 <br /> <br /> <br />for DEBRA K. HURST <br /> <br />Last Day for <br />Refillng. <br />(e <br />03/28/2016 <br />03/28/2016 <br />03/28/2016 <br />03/28/2016 <br />03/28/2016 <br />03/28/2016 <br />03/28/2016 <br />03/28/2016 <br />03/28/2016 <br />03/28/2016 <br />03/28/2016 <br /> <br />Unpaid Balance <br />of Assessment <br />(f <br />1099.37 <br />3412.87 <br />2785.95 <br />3440.33 <br />2402.57 <br />2940.49 <br />1859.70 <br />1033.88 <br />612.01 <br />2977.18 <br />1106.00 <br /> <br />Total $ <br /> <br />23670.35 <br /> <br />Title <br />ACS <br />(800) 829-7650 <br /> <br />12-00-0000 <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) <br /> <br />Part; 1 . Kept By RecordIng OffIce <br /> <br />Form 668(Y)(c) (Rev. 2-2004) <br />CAT. NO 60025X <br /> <br />If/ <br />