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<br />01/22/2008 TUE 15:22 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Ha120080053 1 <br /> <br />~002/002 <br /> <br />!~ - <br />o Form 668 (Y)(c) <br />(Rev. February 2004) <br /> <br />1924 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />Area: Serial Number <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 413985808 <br /> <br />As provided by section 6321, 6322, and 6323 of die Internal Revenue <br />Code, we are giving a notice that 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 lien in favor of the United States on all pr9perty 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 ERIC M THOMPSON <br /> <br />For Optional Use by Recordin Office <br /> <br /> <br />9908544125-4 PSIS: 1 <br />THOMPSON ERIC M <br />Filed: 01/22/2008 09:34 AM <br /> <br />Residence <br /> <br />2222 BELLWOOD DR APT 73 <br />GRAND ISLAND, NE 68801-8279 <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 Di for Unpaid Balance <br />Kind of Tax: Ending Identifying Number Assessment Retl ng of Assessment <br />(a) (b c) (d (e) f) <br />1040 12/31/2001 XXX-XX-8485 04/15/2002 05/15/2012 <br />1040 12/31/2001 XXX-XX-8485 12/08/2003 01/07/2014 9088.61 <br />1040 12/31/2006 XXX-XX-8485 06/11/2007 07/11/2017 861.19 <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 />9949.80 <br /> <br />This notice was prepared and-signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />lOth day of January <br /> <br />2008 <br /> <br />_ . Signature <br />for DEBRA K. HURST <br /> <br /> <br />Title <br />ACS <br />(800) 829-7650 <br /> <br />12-00-0000 <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. Aul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004) <br />Pare I - Kept By Recordill8' Office CAT. NO 60025X <br /> <br />~ <br />