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<br />01/09/2009 FRI 15:19 FAX 402 471 4429 UCC SECRE~ARY OF S~A~E ~~~ Hall <br /> <br />5b <br /> <br />4899 <br /> <br />1210041005 <br /> <br />Form 668 (Y)(C) <br />(Rev. February 20041 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />Area: Serial Number <br />WAGE &. INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 504216908 <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 aU 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 HILARIO JR BANDA <br /> <br />Residence <br /> <br />1007 E 5TH ST <br />GRAND ISLAND, NE 68801-2811 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below. <br />unless notice of the lien is refiled by the date given in column (al. this notice shall. <br />on the day fOllowing such date, operate as a certificate of release as defined <br />in IRe 6325(al. <br /> <br />For Optional Use by Recording Office <br /> <br />\1~1'11'lll~' (li\l) I <br /> <br />990958Z531-3 pg . <br />~~~~~:H~~?~~~20~~ 09:32 RM <br /> <br />200900155 <br /> <br /> Tax Period Date of Last Dal. for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment ReO 109 of Assessment <br />. (a) (b) (c) (d) (e) (f) <br /> 1040 12/31/2002 XXX-XX-8584 01/03/2005 02/02/2015 1260.83 <br /> 1040 12/31/2003 XXX-XX-8584 OS/24/2004 06/23/2014 1317.79 <br /> 1040 12/31/2004 XXX-XX-8584 09/11/2006 10/11/2016 4569.68 <br /> 1040 12/31/2005 XXX-XX-8584 12/10/2007 01/09/2018 7343.00 <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />25th day of December <br /> <br />2008 <br /> <br />Signature <br /> <br /> <br />Title <br />ACS <br />(800) 829-7650 <br /> <br />for DEBRA K. HURST <br /> <br />Total $ <br /> <br />14491. 30 <br /> <br />12-00-0000 <br /> <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. Ru!' 71-466. 1971 - 2 C.B. 409) Form 668(Y)(e) (Rev. 2-2004) <br />Part I . Kept By Recording Office r4T Nn l'lnM"Y <br />