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<br />06/17/2008 TUE 14:11 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />14.1004/006 <br /> <br />~ <br /> <br />4653 <br /> <br />Fonn 668 (Y)(c) <br />(Rev. February 20041 <br /> <br />Department of the Treasury. Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />200805230 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 449057108 <br /> <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are eMng 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 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 DAVID GONZALEZ PAGAN <br /> <br />For Optional Use by Recording Office <br /> <br />1111''Il'"rlllr 11'111 <br /> <br />9908563176-4 pgs: 1 <br />GONZALEZ PAGAN DAVID <br />Filed: 06/17/2008 09:10 A~ <br /> <br />Residence <br /> <br />112 W 6TH ST <br />GRAND ISLAND, NE 68801-4310 <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 DalT. for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Reli ng of Assessment <br />(a) (b) (e) (d) (e) (f) <br />1040 12/31/2001 XXX-XX-9786 09/18/2006 10/18/2016 14776.86 <br />1040 12/31/2002 XXX-XX-9786 09/18/2006 10/18/2016 17880.03 <br />1040 12/31/2003 XXX-XX-9786 09/18/2006 10/18/2016 11346.88 <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 />44003.77 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />OSth day of June <br /> <br />2008 <br /> <br />Signature <br /> <br />Title <br />REVENUE OFFICER <br />for KAY 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. Rul. 71.466, 1971 .2 C.B. 409) . Form 668(Y)(c) (Rev. 2.2004) . <br />Part ( . Kept By Recording Office CAT. NO 60025X <br /> <br /> <br />24-10-2339 <br />