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<br />12/29/2008 MON 8:04 FAX 402 471 4429 UCC SECREXARY OF SXAXE ~~~ Hall <br /> <br />~005/006 <br /> <br />~ <br />o <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br /> <br />8801 <br /> <br />Department of the Treasury. Internal Revenue Service <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 501505308 <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 Den 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 EDWIN S ERLAND <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />9906580594-1 Pgs: 1 <br />ERLAND EDWIN 5 <br />Filed: 12/24/2008 12:54 PM <br /> <br />200810444 <br /> <br />Residence <br /> <br />GENERAL DELIVERY <br />GRAND ISLAND, NE 68801-4770 <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 IRe 6325(a). <br /> <br />Kind of Tax <br />a) <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2005 <br /> <br />Identifying Number <br />c <br />xxx-xx... 1725 <br /> <br />Date of <br />Assessment <br />(d) <br />05/12/2008 <br /> <br />Last Day for <br />Refiling <br />(e) <br />06/11/2018 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />53784.07 <br /> <br />Place of Filing <br /> <br />Regi'ster of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />53784.07 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, 11 <br /> <br />, on this. <br /> <br />12th day of December <br /> <br />2008 <br /> <br />the <br /> <br />Signature <br /> <br />Title <br />REVENUE OFFICER <br />for WILMA K 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 <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y){c) (Rev. 2-2004) <br />Pare . . Kept 8y Recordlnz Office CAT. NO 60025X <br /> <br /> <br />24-10-1739 <br /> <br />