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09/28/2007 FRI 15:07 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall 121003/004 "1924 Department .Of the Treasury - Internal Re~enue servic~_OO 7 0 8 390 Notice of Federal Tax Lien " Form 668 (Y)(c) (Rev. February 20041 , ' Area: Serial Number SMALL BUSINESS/SELF EMPLOYED AREA #4 Lien Unit Phone: (800) 913-6050 392140307 As provided by secdon 6321, 6322, and 6323, of the Internal Revenue Code.. we are giving a notice that -taxes (including interest and penalties) have been assessed against the following-named taxpayer. We have made a demand for payment of this liability, but it remains unpaid. Therefore, there is a lien, in favor of the United States on all property, and rigbu to property belonging to this taxpayer for the amount of these taxes, and additional penalties, interest, and costs that may accrue. - Name of Taxpayer BRUCE LAVALLEUR PC , a Corporation For Optional Use by Recording Office HE See ell stat. Jahn ~ Gala .. Ut:C 99l/J75Z7589-3 Pes: 1 BRUCE lAVALLEUR PC , A CORPORA , Filed: 09/28/2007 12:32 PM Residence PO BOX 5255 GRAND ISLAND, NE68802-5255 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the lien is refiled by the date given in column (e), this notice shall, on the day following such date, operate as a certificate of release as defined in IRC '6325(a). Tax Period Date of Last D&fOr Unpaid Balance Kind Of Tax Ending Identifying Number Assessment Refi g of -Assessment a (b c d) e) f 941 06/30/2005 47-0649585 10/10/2005 11/09/2015 1813.27 941 12/31/2005 47-0649585 03/20/2006 04/19/2016 1074.14 941 12/31/2006 47-0649585 04/02/2007 05/02/2017 1572.02 .a _. ____ ._____ _._..._.~.,.., .. _ ." .... _. ... .., ,~.~_ __ __.___ ___n .. n..._ "0.. n__ ___ __ _. ._. .._.. _n_ _._n_. ~___~__._~~~._~_m.ft.. _.....y.........._\_~...__~__:-____ ____.__~.~_~......'.m._~...._....,_.._....__. ....~.___~~_._________. _~~.__".."...'...._.m.~"".~.n.n.~~_.u._......._.. ..._~........___~_._ _______.__..___________._.__.n._'___.. Place of Filing Register of Deeds Hall POBOX 1692 Grand Island, NE 68802-1692 Total $ .4459.43 This notice was prepared and signed at ST PAUL, MN , on this, the 18th day of September 2007 , Signature Title REVENUE OFFICER (308) 384-4850 24-10-2339 for KAY PONTE Part t . Kept By Recordlnr .Offic:e Form 668(Y)(c) (Rev. 2-20041 CAT. NO 60025X ~. (NOTE: Certificate of officer authorized bV law to take acknowledgment Is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 71-466, 1971 . 2C.B. 4091 .