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<br />07/17/2007 TUE 15:43 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121003/005 <br /> <br />~ <br /> <br />Form 668 (Y)(C) <br />',Rev. February 20041 <br /> <br />3464 <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: (800) 913-6050 376328807 <br /> <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are givlns a notice that taxes (indudins 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 aU 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 ESTELLA F ADRIAN <br /> <br />For Optional Use by.Recording Office <br /> <br />\11111111" <br /> <br /> <br />9907517669-1 Pgs. <br />RDRIRN ESTELLR F PM <br />Filed: 07/1712007 02:45 <br /> <br />Residence <br /> <br />507 MEMORIAL DR <br />GRAND ISLAND, NE 68801-7854 <br /> <br />200706067 <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 /> ,. .. jk.-, .-.. ~ .."" ..- --I' ~.....~ <br /> Tax Period Date of Last DatT. for Unpaid Balance <br />Kind of Tax ' Endins Identifying Number Assessment ' Refilng of Assessment <br />(a) (b) , (c) (dl (el (f) <br />1040 12/31/1998 XXX-XX-S643 11/08/2004 12/08/2014 657.10 <br />1040 12/31/1999 XXX':'XX-8643 11/08/2004 12/08/2014 72662.22 <br />1040 12/31/2000 XXX..,.XX-8643 11/08/2004 12/08/2014 100669.18 <br />1040 12/31/2001 XXX-XX-8643 11/08/2004 12/0S/2014 84438.52 <br />1040, 12/31/2002 XXX-XX-8643 08/28/2006 09/27/2016 1418.36 <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 />259845.38 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />06th day of July' <br /> <br />2007 <br /> <br />the <br /> <br />,Signature <br /> <br /> <br />Title <br />REVENUE OFFICER <br />(308) 384':"4850 <br /> <br />24-10-2337 <br /> <br />for MICHAEL W PONTE <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. 4091 Form 668(Y)(c) '{Rev. 2-2004i , <br />Part. - Kept By Recordin, Offic;e CAT. NO 60025X <br /> <br />\1.-.- <br />