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<br />08/27/2007 MON 16:51 <br /> <br />~ <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1410041006 <br /> <br />1924 <br /> <br />Form 668 <Y)< c) <br />(Rev. February 20041 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200707363 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA" #4 <br />Lien ,Unit Phone: (800) , 829-3903 384473707 <br /> <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (indudinginterest 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 ~es, and <br />additional penalties, interest, and costs that may accrue. <br /> <br />Name of Taxpayer RAYMUNDO MORALES <br /> <br />For Optional Use by Recording Office <br /> <br />Nil s..~ ..f Iht.. J...," II Gal. . UCt <br /> <br /> <br />9907523237-4 PSIS' 1 <br />MORALES RAYMUNDO <br />Filed: 08/27/2007 02:42 PM <br /> <br />Residence <br /> <br />3418 DEANN RD <br />GRAND ISLAND, NE 68801-8818 <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 /> Tax Period Date of ' Last Dm; for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Reiling of Assessment <br />a) b (c (d) e (f) <br />1040" 12/31/2001 XXX-XX"-2377 07/18/2005 08/17/2015 9530.27 <br />1040 12/31/2002 XXX-XX-2377 08/22/2005 09/21/2015 9577.1.3 <br />1040. 12/31/2003 XXX-XX-2377 03/26/2007 04/25/2017 9570.48 <br />1040 12/31/2004 XXX-XX-2377" 03/19/2007 04/18/2017 7185.96 <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 1~92 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />35863.84 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />14th day of August <br /> <br />2007 <br /> <br />Signature <br /> <br />Title <br />ACS <br />for REGINA OWENS (800) 829-3903 <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) . Form 668(Y)(c) IRev. 2-2004) QJ <br />Part . ~ Kept By Recordln, Office CAT. NO 60025X \ <br />, \ <br /> <br /> <br />24-00-0008 <br />