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<br />03/19/2008 WED 15:24 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121009/010 <br /> <br />Gb <br /> <br />3682 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200802320 <br /> <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br /> <br />Area: Serial Number <br />WAGE &: INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 427194108 <br /> <br />As provided by section 632., 6322, and 6323 of the Internal Revenue <br />Code, we are Bivlng a nodce that taxes (including Interest and penalties) <br />have been assessed against the foUowlng-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 BRIAN F PATTEN <br /> <br />For Optlonal Use by Recording Office <br /> <br />11111111'" <br /> <br /> <br />9908552522-6 PSI'". 1 <br />~~1~~ a~}~~/~00a 02:11 PM <br /> <br />Residence <br /> <br />664 FAIDLEY PL APT 4 <br />GRANO ISLAND, NE 68803-3436 <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 IRe 6325(a). <br /> <br />Kind of Tax <br />(a) <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2006 <br /> <br />Identifying Number <br />(c) <br />XXX-XX-3755 <br /> <br />Date of' <br />Assessment <br />(d) <br />11/19/2007 <br /> <br />Last Day for <br />Refillnl <br />(e) <br />12/19/2017 <br /> <br />Un~aid Balance <br />of Assessment <br />(0 <br />7462.72 <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 />7462.72 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />05 th day of March <br /> <br />2008 <br /> <br />Signature <br /> <br /> <br />Title <br />ACS <br />(800) 829-7650 <br /> <br />12-00-0000 <br /> <br />for DEBRA K. HURST <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lIan ~ <br />Rev. Rul. 71-466, 1971 .2 C.B. 4091 . 'Form 668(Y)(c) (Rev. 2.2004l' <br />Part . . Kepc By Ilec.ordln, Office . CAT. NO 60025X <br />