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<br />12/04/2007 ~UE 15:20 <br /> <br />~ <br /> <br />FAX 402 471 4429 UCC SECRE~ARY OF STATE ~~~ Hall <br />200710184 <br /> <br />~004/006 <br /> <br />4653 <br /> <br />Form 668 (Y)(C) <br />(Rev. Februarv 2004) <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELP EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 404572807 <br /> <br />As provided by section 6321,6322, and 6323 of the Internal Revenue <br />Code, we are alvin, a notice that caxes (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 lien 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 MIA HOUGH <br /> <br />For Optional Use by Recording Of.fice <br /> <br />III f 'II III 110 1[1 I' <br /> <br />9907536644-2 pss. 1 <br />HOUGH I'llA . <br />Filed, 12/04/200702:17 PM <br /> <br />Residence <br /> <br />3404 W 13TH ST <br />GRAND ISLAND, NE 68803-2389 <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, operata as a certificate of release as defined <br />in IRC 6325(a). . <br /> <br /> Tax Period Date of Last Da, for Un~aid Balance <br />Kind of Tax Ending Identifying Number Assessment. Reft g of Assessment <br />(a) (b) (c) (d) (e) (I) <br />941 09/30/2005 20-0992974 08/27/2007 09/26/2017 4702.59 <br />941 06/30/2006 20-0992974 09/03/2007 10/03/2017 3513.49 <br />941 09/30/2006 20-0992974 08/27/2007 09/26/2017 2997.02 <br />941 12/31/2006 20-0992974 08/27/2007 . 09/26/2017 3276.21 <br />941 03/31/2007 20-0992974 09/17/2007 10/17/2017 2390.92 <br />941 06/30/2007 20-0992974 09/24/2007 10/24/2017 1682.89 <br /> I. <br /> <br />Place of Filing <br /> <br />Regi~ter of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />18563.12 <br /> <br />This notice. was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />19th day of November <br /> <br />2007 <br /> <br />the <br /> <br />Signature <br /> <br /> <br />Title <br />REVENUE OFFICER <br />(308) 384-4850 <br /> <br />24-10-2339 <br /> <br />. for KAY. PONTE <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Nbtice of Federal Tax lien <br />Rev. Rul. 11 -466, 1971 - 2 C.B. 4091 <br /> <br />Part j . Kept By RecordlD, Office <br /> <br />Form 668(Y)(c) (Rev. 2-2004) <br />CAT. NO 60025X <br /> <br />\J <br />