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<br />02/04/2008 MQN 15:43 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~009/010 <br /> <br />~ <br /> <br />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 />200800883 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 416925908 <br /> <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (Including interest and penalties) <br />have been -assessed against the followina-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 belongin, to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may a~rue. <br /> <br />Name of Taxpayer LARRY E & RENEE BALLWEG <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />9908546467-0 Pes' 1 <br />. BALLWEG LARRY E <br />. Filed, 02/04/2008 11:43 AM <br /> <br />Residence <br /> <br />304 ELM ST LOT 8 <br />ALDA, NE 68810-9760 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given ih column (e), this notice shall, <br />on the day follOWing such date, operate as a certificate 'of release 8S defined <br />in IRe 6325(a). <br /> <br />Kind of Tax <br />(a <br />1040 <br /> <br />Tax Period <br />Ending <br />(b <br />12/31/2001 <br /> <br />Identifying Number <br />c <br />XXX-XX-9458 <br /> <br />Date of <br />Assessment. <br />(d) <br />06/10/2002 <br /> <br />Last Day for <br />ReftDn, <br />(e <br />07/10/2Q12 <br /> <br />Unpaid Balance <br />of Assessment <br />(0 <br />1909.27 <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 />1909.27 <br /> <br />This notice was _prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />23 rd day of January <br /> <br />2008 <br /> <br />, - <br /> <br />for MICHAEL W PONTE <br /> <br /> <br />Title <br />REVENUE OFFICER <br />(3.08) 384-4850 <br /> <br />24-10-2337 <br /> <br />Signature <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. Ru!. 71-466, 1971 .2 C.B. 409) . Form 668(Y)(c) (Rev. 2-2004) _ ~L..,....--' <br />Pan 1 - Kept By Recordlnc Office CAT. NO 60025X 'f <br />