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<br />06/03/2008 TUE 15:26 <br /> <br />tJY <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1iJ004/005 <br /> <br />4653 <br /> <br />Form 668 (Y)(C) <br />(Rev. February 20041 <br /> <br />Department .of the Treasury ~ Internal Re~enue Service 2 0 0 8 0 4 7 9 6 <br />Notice of Federal Tax Uen <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 446842608 <br /> <br />A5 provided by section 6321, 6322, and 6.323 of the Internal Revenue <br />Code, we are givin, a notice that taxes (includin, interest and penalties) <br />have been assessed a,ainst the followin,.named taxpayer. We have'made <br />a demand for payment of this liability, but It remains unpaid. Therefore, <br />tftere is a Uen, in favor of the United States on all property and rights to <br />property beIonJing to chis taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br /> <br />Name of Taxpayer GARY H CARSON <br /> <br />For Optional Use by Recordin Office <br /> <br />HE See ..~ St"t.. J...... A Gala - ute FTL <br /> <br /> <br />9908561835-0 Pss: 1 <br />CARSON GARY H <br />FlIed, 06/03/2008 12:16 P" <br /> <br />Residence <br /> <br />4540 W 13TH ST <br />GRAND ISLAND, NE 68803-2817 <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 Dca; for ' Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refi IRg of A5sessment <br />(a) b (c (d e) (f) <br />1040 12/31/2000 XXX-XX-0413 12/20/2004 01/19/2015 9720.46 <br />1040 12/31/2001 XXX-XX-0413 12/20/2004 01/19/2015 12036.75 <br />1040 12/31/2002 XXX-XX-0413 02/21/2005 03/23/2015 22663.09 <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />G~and Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />44420.30 <br /> <br />This notice was prepared' and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />23rd day of May <br /> <br />2008 <br /> <br />the <br /> <br />Signature <br /> <br />Title <br />REVENUE OFFICER <br />for MICHAEL W PONTE (308) 384-4850 <br /> <br />(NOTE: Certificate of officer authorized bv law to take acknowledgment is not essential to the validity of Notice ot Federal Tax lien <br />Rev. Rul. 71.466, 1971 ~,2 C.B. 409) " . Form 668oo(c) (Rev. 2-2004y\O <br />' . Part 1 - Kept By Recording Office CAT. NO 60025X \.Y- <br /> <br /> <br />24-10-2337 <br />