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<br />08/11/2008 MON 14:43 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1dI003/004 <br /> <br />~ <br /> <br />Form 668 (Y)(c) <br />(Rev. February 20041 <br /> <br />4653 <br /> <br />Department of the Treasury. - Internal Revenue Service <br /> <br />200806936 <br /> <br />Notice of Federal Tax Lien <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 460698908 <br /> <br />A5 provided by section 632., 6]22, and 6323 of the Internal Revenue <br />Code, we are giving a nodee 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 Scates on all property and rilhts 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 ERNEST F BANE JR <br /> <br />Fo <br />I--- <br /> <br />1111 II 1"11 Illlr nl r <br /> <br /> <br /> <br />9908566145-4 Pgs: 1 <br />BANE ERNEST F JR <br />. Filed: 08/11/2008 11:16 RM <br /> <br />Residence <br /> <br />PO BOX 214 <br />WOOD RIVER, NE 68883-0214 <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 Dal. for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Reft ng of Assessment <br />(a) (b) (c) (d) (e) (f) <br />1040 12/31/2001 XXX-XX-6184 04/24/2006 OS/24/2016 1302.46 <br />1040 12/31/2002 XXX-XX-6184 04/24/2006 OS/24/2016 48608.77 <br />1040 12/31/2003 XXX-XX-6184 05/14/2007 06/13/2017 55659.35 <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 />105570.58 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />. on this. <br /> <br />the <br /> <br />31st day of July <br /> <br />2008 <br /> <br />for MICHAEL W PONTE <br /> <br /> <br />Title <br />REVENUE OFFICER <br />(308) 384-4850 <br /> <br />24-10-2337 <br /> <br />Signature <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. 4091 Form 66BOO(C) (Rev. 2-2004) <br />Part 1 - Kept By Recording Office 'CAT. NO 60025X <br /> <br />Y- <br />