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<br />04/29/2008 TUE 15:32 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1dI002/003 <br /> <br />~ <br /> <br />1924 <br /> <br />Fol'lll 668 (Y)(c) <br />(Rev. February 20041 <br /> <br />Department of the Treasury w Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />200803629 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 . 439048808 <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 against the following-named taxpayer. We have made <br />a demand for payment of this liabiUty, but it remains unpaid. Therefore, <br />there is a lien in favor of the United States on aU property and rishts to <br />properey belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may aCCl1le. <br /> <br />Name of Taxpayer ALBERT TOBAR <br /> <br />For Optional Use by Recording Office <br /> <br />HE s... of Sht.. ",ohot 1\ hie . UCC "T~ <br /> <br /> <br />9908557780-7 Pgll: 1 <br />TOBAR AL.BERT <br />Filed: 04/29/2008 12:31 PM <br /> <br />Residence <br /> <br />404 E 10TH ST <br />GRAND ISLAND, NE 68801-3924 <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 Dnr.. for Unpaid Balance <br />Kind of Tax: Endin, Identifying Number. Assessment Refi I of Assessment <br />a) b) c d) e f <br /> .,.:-.J :..' ~.R <br />1040 12/31/2002 XXX-XX-8869 06/11/2007 07/11/2017 3760.06' <br />1040 12/31/2004 XXX-XX-8869 06/11/2007 07/11/2017 45899.60 <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 />49659.66 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />17th day of April <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 Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(y)(c) (Rev. 2-20Q4IV <br />Part 1 . Kept By RecordIn. Office CAT. NO 60025X <br /> <br /> <br />24-10-2341 <br />