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<br />04/15/2008 TUE 15:02 <br /> <br />\b <br />D <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />4653 <br /> <br />~004/007 <br /> <br />Form 668 (Y)(e) <br />(Rev. February 20041 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Uen <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829-3903 435258908 <br /> <br />As provided by section 632 t, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a nodee that taxes (including Interest and penaldes) <br />have been assessed against the following-named taxpayer. We have made <br />a demand for payment of this liabUlty, 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 cosuthat may accrue. <br /> <br />Name of Taxpayer ROGER W & LINDA A POPPERT <br /> <br />Residence <br /> <br />180 RIDGE RD <br />GRAND ISLAND, NE 68801-9387 <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 />For Optional Use by Recording Office <br /> <br />1111]llljr'l~ I <br /> <br /> <br /> <br />9908556063-6 Pas' 1 <br />POPPERT ROGER W ' <br />Fil&d; 04/15/2008 12:17 PM <br /> <br />2008031"40 <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-0527 <br /> <br />Date of <br />Assessment <br />Cd) <br />07/30/2007 <br /> <br />Last D~y for <br />Reflllng <br />(e) <br />08/29/2017 <br /> <br />Unpaid Balance <br />of . Assessment <br />(f) <br />359.53 <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />03rd day of April <br /> <br />2008 <br /> <br />Signature <br /> <br /> <br />Title <br />ACS <br />(800) 829-3903 <br /> <br />for REGINA OWENS <br /> <br />Total $ <br /> <br />359.53 <br /> <br />24-00-0008 <br /> <br />Part I . Kept By'Recording Office <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~ Aul. 71-466, 1971 - 2 C.B. 409) <br /> <br />Form 668(Y)(c) (Rev. 2.2004) <br />CAT. NO 60025X <br /> <br />fJ <br /> <br />~ <br />