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<br />09/16/2008 TUE 14:20 <br /> <br />\)1{) <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1210041004 <br /> <br />4653 <br /> <br />Form 668 (Y)(c) <br />(Rev. Februarv 20041 <br /> <br />Department .Of the Treasury - Internal Re:enue Service 2 0 0 8 0 7 9 6 6 <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 470156708 <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 DOUGLAS A & MIA HOUGH <br /> <br />For Optional Use by Recording Office <br /> <br />1~111l111'[1 n I <br /> <br />9908570983-4 P9S; 1 <br />HOUGH DOUGLRS R <br />Fiied: 09/16/200801,37 PM <br /> <br />Residence <br /> <br />6066 S NORTH RD <br />GRAND ISLAND, NE 6880~-9119 <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 'Refi ng of Assessment <br />(a) Cb) (c) Cd) (e) Cf) <br />1040 12/31/2001 XXX-XX-0105 OS/27/2002 06/26/2012 2130.38 <br />1040 12/31/2004 XXX-XX-0105 04/28/2008 OS/28/2018 2554.76 <br />1040 12/31/2005 XXX-XX-0105 0'6/02/2008 07/02/2018 1891.84 <br />1040 12/31/2006 XXX-XX-0105 06/02/2008 07/02/2018 1292.34 <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 />7869.32 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />04th day of <br /> <br />September 2008 <br />I <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 0? <br />Rev. Ru!. 71-466, 1971 .2 C.B. 4091 Form 668(Y)(d (Rev. 2-2004) <br />Pan I - Kept By Recordln, Office CAT. NO 60025X <br /> <br /> <br />24-10-2339 <br />