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<br />04/04/2008 FRI 14:09 FAX 402 471 4429 UCC SECRETARY OF STATE 444 Hall <br /> <br />000 <br /> <br />~003/005 <br /> <br />. <br /> <br />1924 <br /> <br />Department of the Treasury - Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />200802872 <br /> <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />lien Unit Phone: (800) 913-6050 432302908 <br /> <br />As provided by section 6321, 6322, and 632] of the Internal 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 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 belonsing to this taxpayer for the amount of these taxes,. and <br />additional penalties, Interest, and costs that may accrue. <br /> <br />Name of Taxpayer RAMON DELGADILLO <br /> <br />For Optional U5e by Recording Office <br /> <br />\111111111' <br /> <br /> <br />9908554786-6 P1l5. 1 <br />DELGADILLO RRl'lON <br />Filed: 04/04/200801:27 PM <br /> <br />Residence <br /> <br />612 W 10TH ST <br />GRAND ISLAND, NE 68801-4047 <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 />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2001 <br />12/31/2002 <br /> <br />Identifying Number <br />eel <br />XXX-XX-6078 <br />XXX-XX-6078 <br /> <br />Date of <br />Assessment <br />Cd) <br />12/18/2006 <br />12/18/2006 <br /> <br />Last Day for <br />ReliUng <br />Cel <br />01/17/2017 <br />01/17/2017 <br /> <br />Unpaid Balance <br />of Assessment <br />(0 <br />4369. -29 <br />3984.11 <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 />8353.40 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />24th day of March <br /> <br />2008 <br /> <br />Signature <br /> <br />Title <br />ACS <br />for R. RAY JOHNSON (800) 829-7650 <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. 4091 Form 66Sm(c) (Rev. 2-200 <br />Part: t . Kept By RecordlD' Office CAT. NO 60025X <br /> <br /> <br />14-00-0000 <br />