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<br />10/01/2008 WED 14:41 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121003/003 <br /> <br />~ <br /> <br />8801 <br /> <br />Form 668 (Y)(c) <br />CRllV. Februarv 2004) <br /> <br />Department of the Treasury. Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200808392 <br /> <br />Area: Serial Number <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 475160008 <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 penaldes) <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 rishes to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penaldeS, interesc:, and costs that may accrue. <br /> <br />Name of Taxpayer ANTHONY COTTON <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />9908572229-8 Pgs: 1 <br />COTTON ANTHONV <br />FLIed: 10/01/2008 10:47 AM <br /> <br />Residence <br /> <br />3111 COLLEGE ST APT 117 <br />GRAND ISLAND, NE 68803-1729 <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 .Refilng of Assessment <br />(a) (b) (c) (d) (e) (f <br />1040 12/31/2002 XXX-XX-6525 12/22/2003 01/21/2014 2560.79 <br />1040 12/31/2004 XXX-XX-6525 04/09/2007 05/09/2017 1227.48 <br />1040 12/31/2005 XXX-XX-6525 02/04/2008 03/06/2018 17918.55 <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 />21706.82 <br /> <br />This 'noticewa's'prepared' and 'signed-at , .. <br /> <br />u.-CH~~G,Q.".,X[" <br /> <br />u,u__ '.' ,. on -this, <br /> <br />.'~ '. '.' ~ ~ ~;.;.i. I <br /> <br />the <br /> <br />18th day of <br /> <br />September 2008 <br />, <br /> <br />Signature <br /> <br /> <br />Title <br />ACS <br />(800) 829-7650 <br /> <br />12-00-0000 <br /> <br />for DEBRA K. HURST <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.8. 409) Form 668(Y)(e) (Rev. 2-20041\ , <br />Part 1 . Kept By Recording Office CAT. NO 60025X V <br />