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<br />04/01/2008 TUE 11:52 FAX 402 471 4429 UCC SECRETARY OF STATE 444 Hall <br /> <br />121003/006 <br /> <br />dJ <br /> <br />4653 <br /> <br />Department of the Treasury - Internal Revenue Service 8 0 27 5 1 <br />Notice of Federal Tax Lien 200 <br /> <br />Form 668 (Y)(C) <br />(Rev. Februill'V 20041 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Uen Unit Phone: (800) 829-3903 431571808 <br /> <br />As provided by section 6321, 6]22, and 6]23 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the followin,..named taxpayer. We have made <br />a demand for payment of this liabitic:y, but it remains unpaid. Therefore, <br />there is a lien in favor of the United States on an 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 RYAN D SCHWARTZ <br /> <br />For Optional Use by Recording Office <br /> <br />IE 111'11111(11 <br /> <br /> <br />9908554200-6 PgI: 1 <br />SCHWARTZ RVAN 0 <br />Filed, 04/01/2009 10:55 AM <br /> <br />Residence <br /> <br />1432 HOWARD PL <br />GRAND ISLAND, NE 68803-2529 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessme~t 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 6326(a). <br /> <br />Kind of Tax <br />(a) <br />1040 <br />1040 <br /> <br />Tax Period. <br />Ending <br />(b) <br />12/31/2004 <br />12/31/2005 <br /> <br />Identifying Number <br />(c) <br />XXX-XX-5889 <br />XXX-XX-5889 <br /> <br />Date of <br />Aisessment <br />(d) <br />09/11/2006 <br />09/18/2006 <br /> <br />Last Day for <br />ReliUng <br />(e) <br />10/11/2016 <br />10/18/2016 <br /> <br />Unpaid Balance <br />of Assessment <br />. (I) <br />3364.81 <br />1766.10 <br /> <br />....~ :: l <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 />5130.91 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />. on this. <br /> <br />the <br /> <br />20th day of March <br /> <br />2008 <br /> <br />Signature <br /> <br />Title <br />ACS <br />for REGINA OWENS (800) 829-3903 <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. 2.200 .. <br />Part t . Kept By Recording Office CAT. NO 60025X .. ... <br /> <br />" <br /> <br /> <br />24-00-0008 <br />