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<br />11/19/2007 HQN 15:31 <br /> <br />Df() <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~003/004 <br /> <br />'4653 <br /> <br />Fonn 668 (Y)(c) <br />(Rev. February 20041 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200709856 <br /> <br />Area: Serial Number <br />WAGE & INVESTMENT AREA #2 <br />lien Unit Phone: (800) 829-7650 403403307 <br /> <br />A5 provided by section 632 t, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (Including interest and penalties) <br />have been assessed alainst the followinl~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 fichts to <br />property belonging to this taxpayer for the amount of these taxes, and <br />addidonal penalties, interest, and costs that inay accrue. <br /> <br />Name of Taxpayer BIENVENlOO ECHEVARRIA BAEZ <br /> <br />For Optional Use by Recording Office <br /> <br />\111"1111' <br /> <br />_7534221-4 EVRRRIA <br />BREldBIE1N1v,~~r00~C~9:32 'AI' <br />Fil. : <br /> <br />Residence <br /> <br />1821 W 11TH AVE <br />GRAND ISLAND, NE 68803-3706 <br /> <br />IMPORTANT RELEASE INFORMATION: For each aSS8&sment 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 6326(a). <br /> <br /> Tax Period Date of Last Da.r. for Unpaid Balance <br />Kind of Tax Endinl ' Identifyin. Number Assessment Reft nl of Assessment <br /> (a) (b) , (c) (d) (e) (n <br /> 1040 . 12/31/2000 XXX-XX-2938 03/07/2005 04/06/2015 10422.81 <br /> 1040 12/31/2002 XXX-XX-2938 03/07/2005 04/06/2015 19214.78 <br />~.. .~ . ,..... ..... --,...--. " , ____..n..... -.....- -... ..- <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 />29637.59 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />09th day of November <br /> <br />2007 <br /> <br />Signature <br /> <br /> <br />Title <br />ACS. <br />(800) 829-.7650 <br /> <br />12-00- 0,000 <br /> <br />for DEBRA K. HURST <br /> <br />(HOTE: 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. 2-2004()f' <br />Part f - Kept By Recordln. OffIce CAT. NO 60025X \::J'U <br />