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<br />07/15/2008 TUE 13:32 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1dI014/014 <br /> <br />0<0 <br /> <br />2008061'20 <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 454781908 <br /> <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue, <br />Code, we are giving a nodce 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 ALBERTO LUNA-REYNA & ANNA LUNA <br /> <br />For Optional Use by Recording Office <br /> <br />\llllllr'!I\II\~I\ <br /> <br /> <br />9908565710-0 Pss; 1 <br />LUNA-REYNA ALBERTO <br />Filed, 07{15{2008 11:36 AM <br /> <br />Residence <br /> <br />512 S LINCOLN AVE <br />GRAND ISLAND, NE 68801 <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 />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2,003 <br />12/31/2004 <br /> <br />Identifying Number <br />(e) <br />XXX-XX-7629 <br />XXX-XX-7629. <br /> <br />Date of <br />Assessment <br />(d) <br />12/18/2006 <br />12/18/2006 <br /> <br />Last Day for <br />Refillng <br />(e) <br />01/17/2017 <br />01/17/2017 <br /> <br />Unpaid Baiance <br />of Assessment <br />(f) <br />28634.41 <br />11583.24 <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 />40217.65 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />. on this, <br /> <br />02nd day of July <br /> <br />2008 <br /> <br />the <br /> <br />Signature <br /> <br /> <br />Title <br />ACS <br />(800) 829-3903 <br /> <br />24-00-0008 <br /> <br />for REGINA OWENS <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien \J <br />Rev. Ru!' 71-466, 1971 .2 C.B. 409) _ .. _ __ Form 66S(Y)(c) (Rev. 2-2004) <br />