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<br />10/15/2007 MON 15:53 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1210021 0 1 0 <br /> <br /> <br />1924 <br /> <br />Department of the Treasury ~ Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />200708890 <br /> <br />Form .668 (Y)(c) <br />, (Rev. February 20041 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4' <br />Lien Unit Phone: (BOO) 913-6050 395905907 <br /> <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are gMnl a notice tha( 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 Den 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 GEORGE J OVERFIELD <br /> <br />For Optional Use by Recording OHice <br /> <br />NE S.e af S~.~.. .lahn II e..le - UI:C FTL <br /> <br /> <br />9907529604-9 PSIS' 1 <br />OVERFIELD GEORGE J <br />FLled: 10/16/2007 01:45 PM <br /> <br />Residence <br /> <br />2023 LAMAR AVE <br />GRAND ISLAND, NE 68803-6224 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is retiled 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 IRe 6325(a). <br /> <br />Kind of Tax <br />(a) <br />6672 <br /> <br />Tax Period <br />Endinl <br />b) <br />09/30/2002 <br /> <br />Identifying Number <br />(c) <br />XXX-XX-3264 <br /> <br />Date of <br />Assessment <br />(d) <br />04/03/2007 <br /> <br />Last Day for <br />. Rellling <br />(e) <br />05/03/2017 <br /> <br />Unpaid Balance <br />of Assessment <br />(0 <br />6475.86 <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 />6475.86 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL I MN <br /> <br />, on this, <br /> <br />the <br /> <br />04 th day of October <br /> <br />2007 <br /> <br />Signature <br /> <br /> <br />Title <br />REVENUE OFFICER <br />(308) 384-4850 <br /> <br />24-10-2341 <br /> <br />for PAT KELLOGG <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. 2-20041 (1U <br />Part t . Kept By Recording Office CAT. NO 60025X '. <br /> <br />" . <br />