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<br />06/03/2008 TUE 15:26 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121003/005 <br /> <br />{)IO <br /> <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br /> <br />4653 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200804795 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />lien Unit Phone: (800) 913-6050 446842708 <br /> <br />As provided by section 632 t, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (lndudin, 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 nen In favor of the United States on aU 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 GARY H & MARILYN M CARSON <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />9908561834-8 Pgs: 1 <br />CARSON GARY H <br />Filed; 06/03/2008 12;16 P" <br /> <br />Residence <br /> <br />4540 WEST 13TH STREET <br />GRAND ISLAND, NE 68803 <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 /> <br />Tax Period <br />Ending, <br />b) <br />12/31/1998 <br /> <br />Identifying Number <br />(c) <br />XXX-XX-0413 <br /> <br />Date of <br />Assessment <br />d <br />05/17/1999 <br /> <br />Last Day for <br />Refiling <br />(e) <br />06/16/2009' <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />2642.61 <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 />2642.61 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, It <br /> <br />I on this, <br /> <br />23rd day of May <br /> <br />2008 <br /> <br />the <br /> <br />Signature <br /> <br /> <br />24-10-2337 <br /> <br />Title <br />REVENUE OFFICER <br />for MICHAEL W PONTE (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. Ru!' 71-466, 1971 - 2 C.B. 4091 Form 66BOO(C) (Rev. 2.2004) <br />Part 1 . Kept By Recording Office - CAT. NO 60025X <br />