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<br />04/15/2008 TUE 15:03 <br /> <br />Db <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121005/007 <br /> <br />4653 <br /> <br />Department of the Treasury. Internal Revenue Service <br />Notice of Federal Tax.Lien <br /> <br />Form 668 (Y)(c) <br />(Rell. February 2004) <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829-3903 435259308 <br /> <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed apinst the followins-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 belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may acerue. <br /> <br />Name of Taxpayer DAVID L & MARILYN S ARNOLD <br /> <br />For Optional Use by Recording Office <br /> <br />n rrllTlrlllrn <br /> <br /> <br />. 9908556064-8 . Pgs, 1 <br />RRNOLD DRVID L <br />Filed: 04/16/2008 12:17 PM <br /> <br />Residence <br /> <br />1032 SPLUM <br />GRAND ISLAND, NE 68801-8070 <br /> <br />200803141 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the data 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 /> Tax Period Date of Last Dal. for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refilng of Assessment <br />(a) (b) (c) (d) (e) (f) <br />1040 12/31/2003 XXX-XX-5079 OS/24/2004 06/23/2014 3520.46 <br />1040 12/31/2004 XXX-XX-5079 OS/23/2005 06/22/2015 10637.78 <br />1040 12/31/2005 XXX-XX-5079 02/05/2007 03/07/2017 6861.99 <br />104'0 12/31/2006 XXX-XX-5079 OS/28/2007 06/27/2017 13864.77 <br /> <br />Place of Filihg <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />34885.00 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />03 rd day of April <br /> <br />2008 <br /> <br />Signature <br /> <br /> <br />Title <br />ACS <br />(800) 829-3903 <br /> <br />24-00-0008 <br /> <br />~ <br /> <br />for REGINA OWENS <br /> <br />(NOTE: Certificate of officer authorized by law to taka acknowledgment is not essential to the lIalidity of Notice of Federal Tax lien <br />Rell. Rul. 71-466,1971 - 2 C.B. 4091 . <br /> <br />Part t - Kept By Recording Office <br /> <br />Form 668(Y)(c) (Rev. 2-2004) <br />CAT. NO 60025X <br />