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<br />07/15/2008 TUE 13:32 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~01l/014 <br /> <br />~ <br /> <br />200806117 <br /> <br />4653 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />Form 668 (Y)(C) <br />(Rev. February 20041 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 450858508 <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 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 J BRUCE TEICHMAN <br /> <br />For Optional Use by Recording Office <br /> <br />\111'111"1\\ <br /> <br />9908565707-3 pg , <br />TEICHMAN J BRUCE <br />Filed: 07/15/2008 11:35 AM <br /> <br />Residence <br /> <br />PO BOX 126 <br />GRAND ISLAND, NE 68802-0126 <br /> <br />. <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the Uen 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 /> Tax Period Date of Last Da.r. for Unpaid Balance <br />Kind of Tax Endins Idendfying Number Assessment Refilng of Assessment <br />(a) (b) (e) (d) eel (f) <br />1040 12/31/2002 XXX-XX-9786 02/07/2005 03/09/2015 30278.14 <br />1040 12/31/2004 XXX-XX-9786 OS/22/2006 06/21/2016 3524.84 <br />1040 12/31/2005 XXX-XX-9786 OS/22/2006 06/21/2016 11840.02 <br />1040. 12/31/2006 XXX-XX-9786 06/04/2007 0.7/04/2017 9744.81 <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 />55387.81 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />13th day of June <br /> <br />2008 <br /> <br />the <br /> <br />Signature <br /> <br />Title <br />REVENUE OFFICER <br />for GARY J HERMAN (402) 221-3768 <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. 409) <br /> <br /> <br />24-10-2309 <br /> <br />Pan t - Kept By Recordlnl omce <br /> <br />Form 668(Y)(c) (Rev, 2-20041 <br />CAT. NO 60025X <br /> <br />\/ <br />