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<br />06/24/2008 TUE 14:46 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1210021004 <br /> <br />~ Fo... 6<\8 (Y)(e) <br />(Rev. February 2004) <br /> <br />46.53 <br /> <br />Department of the Treasury. Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200805441 <br /> <br />Area: Serial Number <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 447017708 <br /> <br />As provided bysecdon 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 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 FERNANDO D & PATRICIA J REYES <br /> <br />For Ootional Use bv Recordino OtfiClA <br />Nt! S~e df Stale .I""" n hi c . u~~ I'Tl.. <br /> <br /> <br />9908563742-5 Pg$: 1 <br />REYES FERNANDO 0 <br />Filed: 06/24/2008 08:37 A" <br /> <br />Residence <br /> <br />201 W 7TH ST <br />GRAND ISLAND, NE 68801-4324 <br /> <br />IMPORTA)iT 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 IRe 6325(a). <br /> <br />.(~:: <br />....',. <br /> <br />Kind of Tax <br />(a) <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2006 <br /> <br />Identifying Number <br />c <br />XXX-XX-7434 <br /> <br />Date of <br />Assessment <br />(d <br />11/12/2007 <br /> <br />Last Day for <br />Refiling <br />(e <br />12/12/2017 <br /> <br />Unpaid Balance <br />of Assessment <br />( <br />7878.44 <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 />7878.44 <br /> <br />This notice was prepareCl and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />27th day of May <br /> <br />2008 <br /> <br />the <br /> <br />Signature <br /> <br />Title <br />ACS <br />for DEBRA K. HURST (800) 829-7650 <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) 668(Y)( ) ( <br />Form c Rev. 2-2004) <br />Part 1 . Kept By Recording OffIce CAT. NO 60025X <br /> <br /> <br />12-00-0000 <br /> <br />(0 <br />