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<br />03/27/2008 THU 15:33 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121003/003 <br /> <br />o~ <br /> <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br /> <br />3682 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Uen 200 80 2 5 5 7 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829-3903 429581508 <br /> <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are living a notice that taxes (including Interest and penalties) <br />have been assessed against the followlng.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 aU 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 JON PLACKE & CLAUDIA M LOPEZ <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />9908553653-4 Pgs , 1 <br />PLACKE JON <br />Filed: 03/27/2008 03,05 PM <br /> <br />Residence <br /> <br />664 FAIDLEY CT <br />GRAND ISLAND, NE 68803-3481 <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 />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-7170 <br /> <br />Date of <br />Assessment <br />d) <br />OS/28/2007 <br /> <br />last Day for <br />Rellling <br />(e) <br />06/27/2017 <br /> <br />Unpaid Balance <br />of Assessment <br />(0 <br />2139.86 <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 />2139.86 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this. <br /> <br />13th day of March <br /> <br />2008 <br /> <br />the <br /> <br />for REGINA OWENS <br /> <br /> <br />Title <br />ACS <br />(800) 829-3903 <br /> <br />24-00-0008 <br /> <br />Signature <br /> <br />(NOTE: Certificate of officer authorized bV law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien f:\\ <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) . Form 668(Y)(c) (Rev. 2-20~OVJ <br />Part t - Kept By Recording OffKe CA T. NO 60025 . \. ' <br /> <br />'-, <br />