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<br />04/01/2008 TUE 11:52 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121002/006 <br /> <br />~ <br /> <br />4653 <br /> <br />Department of the Treasury ~ Internal Revenue Service <br />Notice of Federal Tax Lien 2 0 0 8 0 27 5 0 <br /> <br />Form 668 (Y)(C) <br />(Rev. February 20041 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 431612108 <br /> <br />A5 provided by section 6]21, 6]22, and 6]23 of the Intemal 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 liabWtY, but it remains unpaid. Therefore, <br />there is a lien in favor of the United States on all property and rights to <br />property belonslng to this taxPayer for the amount of these. taxes, and <br />additional penalties, Interest, and costs that may acuue. <br /> <br />Name of Taxpayer EDWARD D SABATKA <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />Pg$' 1 <br /> <br />Residence <br /> <br />2624 S LOCOST ST <br />GRANDISLAND, NE 68801-8228 <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 Dal. for Unpaid Balance <br />Kind of Tax EndiDg Identifying Number Assessment Reft 01 of Assessment ~ ' <br />(a) (b) (c (d (e) <br />941 12/31/2006 48-0844616 05/07/2007 06/06/2017 1675.67 <br />941 03/31/2007 48-0844616 08/13/2007 09/12/2017 2423.23 <br />941 06/30/2007 48-0844616 01/28/2008 02/27/2018 1730.13 <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 />5829.03 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />.. <br /> <br />the <br /> <br />20th day of March <br /> <br />2008 <br /> <br />Signature <br /> <br />Title <br />REVENUE OFFICER <br />for PAT KELLOGG (308) 384-4850 <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Fed~ral Tax lien @ <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) .. Form 668(Y)(c) (Rev. 2-2004 <br />Part 1 - Kept By Recordln. OffIce CAT. NO 60025X <br /> <br />- - "- <br /> <br /> <br />24-10-2341 <br />