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<br />01/23/2009 FRI 11:55 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1210031003 <br /> <br />UJ <br /> <br />8801 <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 20 0 90 0 4 4 7 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (BOO) 913-6050 507525409 <br /> <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (induding Interest and penalties) <br />havibeenassesSed. against the foUowing..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 ROGER P & HEATHER A THORNTON <br /> <br />For Optional Use by Recording Office <br /> <br />11~11l11rllll n I <br /> <br /> <br /> <br />9909584617-7 PgS' 1 <br />THORNTON ROGER P . <br />Filed, 01/23/2009 11;14 AM <br /> <br />Residence <br /> <br />1303 W 1ST ST <br />GRAND ISLAND, NE 68801-5703 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the Iieil is reflled 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 I~C 6325(a). <br /> <br />Kind of Tax', ' <br />(a) <br />1040 <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2005 <br />12/31/2006 <br /> <br />Identifying Number <br />(c) <br />XXX-XX-5445 <br />XXX-XX-5445. <br /> <br />Date of <br />Assessment <br />(d) <br />12/22/2008 <br />10/27/2008 <br /> <br />Last . Day for <br />Refiling <br />(e) <br />01/21/2019 <br />11/26/2018 <br /> <br />Unp.aid Balance <br />of Assessment <br />(f) <br />5587.91 <br />626.65 <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 />6214.57 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />13th day of January <br /> <br />2009 <br /> <br />. Signature <br /> <br />Title <br />REVENUE OFFICER 24-10-1744 <br />for PATRICK J KELLOGG (308) 384-4850 . . "'); <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien {y- . :.~ <br />Rev. Rul, 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-200 . <br />'Part I . Kepi By ~diDl' Office CAT. NO 60025X <br /> <br />