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<br />07/17/2007 TUE 15:43 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121004/005 <br /> <br />~orm 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 376329007 <br /> <br />As provided by section 6321, 6322., and 6323 of the Internal Revenue <br />Code, we are giving a notice tbattaxes (indudlnginterest and penalties) <br />have been assessed against tbe following-named' taxpayer. We bave 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 fOf the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br /> <br />Name of Taxpayer SHANE F HIGGINS <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />9907517670-4 Pus: 1 <br />HIGGINS SHRNE F - <br />Filed: 0711712007 02:45 PM <br /> <br />Residence <br /> <br />3335 PRIMROSE DR <br />GRAND ISLAND, NE 68801-8762 <br /> <br />200706068 <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 />inlRC 6325(a). <br /> <br /> ..~ -/I ., ~. <br /> Tax Period Date of Last Dar. for Unpaid ,Balance <br />Kind of TaX Ending Identifying Number Assessment Refilng of Assessment <br />(a) (b) c d) (e) <br />1040 . 12/31/2001 XXX-XX-8683 07/24/2006 08/23/2016- 53381.90 <br />1040 12/~1/2002 XXX-XX-8683 07/24/2006 08/23/2016 3451.47 <br />1040 12/31/2003 XXX-XX-8683 03/12/2007 04/11/2017 41969.04 <br />1040 12/31/2004 XXX-XX-8683 03/12/2007 04/11/2017 55113.14 <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 />153915.55 <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. R~I. 71-466, 1971 - 2 C.B. 409)Form 668(Y)(c) (Rev. 2-2004) <br />Part 1 . Kept By IlecorcUng Office CAT. NO 60025X <br /> <br />~... <br />