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<br />06/03/2008 TUE 15:26 FAX 402 471 4429 UCC SECRETARY OF STATE ......... Hall <br /> <br />III 0 0 5/ 0 0 5 <br /> <br />\)<b <br /> <br />Fonn 668 (Y)(c) <br />fRev. February 20041 <br /> <br />4653 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200804797 <br /> <br />Area: Serial Number For Optional Use by Recording Office <br />SMALL BUSINESS/SELF EMPLOYED .AREA #4 <br />Lien Unit Phone: (800) 913-6050 446286808 <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 followin,..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 accrue. <br /> <br />Name of Taxpayer SALLY S WENZEL <br /> <br /> <br />Residence <br /> <br />5 NAVAJO DR <br />GRAND ISLAND, NE 68803-3826 <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 />12/31/2003 <br /> <br />Identifying Number <br />(c) <br />XXX-XX-8777 <br /> <br />Date of . <br />Assessment <br />(d) <br />02/04/2008 <br /> <br />Last D~ for <br />Refiling <br />(e <br />03/06/2018 <br /> <br />Unpai,d Balance <br />of Assessment <br />( <br />337173.25 <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 />337173..25 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO,. IL <br /> <br />, on this, <br /> <br />21st 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 by law to take acknowledgment Is not essential to the validity of Notice of Federal Tax lien clJ <br />Rev. Rul. 71.466, 1971 .2 C.B. 409) . 'Form 668(y)(c) (Rev. 2.2004) <br />. Part 1 - Kept By Recordin. Office CAT. NO 60025X <br /> <br /> <br />24-10-2337 <br />