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03/14/2008 FRI 13:39 ~ Form 668 (Y)(C) (Rev. February 20041 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall ~004/006 1924 Department of the Treasury - Internal Revenue Service Notice of Federal Tax Lien 2 0 0 8 0 2 2 3 1 Area: Serial Number SMALL BUSINESS/SELF EMPLOYED AREA #4 Lien Unit Phone: (800) 913-6050 425064708 As provided by section 6321, 6322, and 6323 -of the Internal Revenue Code, we are elving a notice that taxes (Including interest and penalties) have been assessed against the followlns-named taxpayer. We have made a demand for payment of this liability, but It remains unpaid. Therefore, there is a lien in favor of the United States on all property and rish" to property belonging to this taxpayer for the amount of these taxes, and additional penalties, interest, and cost$ that may accrue. Name of Taxpayer ISMAEL LOPEZ For Optional Use by Recording Office NE See of" S".e Joh~ A Gele _ ucc ~T~ 9908S51916-0 Pgs: 1 LOPEZ ISMAil Filed: 03/14/2008 12,54 P" Residence 2323 BELLWOOD DR TRL 64 GRAND ISLAND, NE 68801-0000 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the lien is refiled by the date given in column (e), this notice shall, on the day following such date, operate as a certificate of release as defined in IRe 6325(a). ,Kind of Tax a) 1040 Tax Period Ending b) 12/31/2004 Identifying Number (c XXX-XX-0233 Date of Assessment d 10/15/2007 Last Day for Refilin, (e) 11/14/2017 Unpaid Balance of Assessment (f) 94418.83 Place of Filing Register of Deeds Hall POBOX 1692 Grand Island, NE 68802-1692 Total $ 94418.83 This notice was prepared and signed at CHICAGO, IL , on this, the 27th day of February 2008 Signature Title REVENUE OFFICER for MICHAEL W PONTE (308) 384-4850 (NOTE: Certificate of officer authorized by law to take acknowledgment Is not essential to the validity of Notice of Federal Tax lien ~ Rev. Rul. 71.466,1971 + 2 C.B. 4091 Form 668(Y)(c) (Rev. 2-2004 Part . . Kept By Recordln, Office CAT. NO 60025X 24-10-2337