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<br />03/10/2009 TUE 13:33 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121005/005 <br /> <br />Q <br /> <br />ov <br /> <br />Form 668 (Y)(c) <br />(Rell. February 2004) <br /> <br />8801 <br /> <br />Department of the Treasury - Internal Revenue Service <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 521041609 <br /> <br />As provided by section 632 t, 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 WENDEL FETTIG <br /> <br />For Ontinmil Use bv Recording Office <br /> <br /> <br /> <br />IIIIfllIlnrrn If <br /> <br />9909589390-0 Pgs: 1 <br />FETTIG WENDEL <br />Filed: 03/10/2009 10:56 RM <br /> <br />Residence <br /> <br />821 W OKLAHOMA AVE STE 8 <br />GRAND ISLAND, NE 68801-6781 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is retiled by the date given in column (e), this notice shall, <br />on the day tollowing such date, operate as a certificate of release as defined <br />in IRC6325(a). <br /> <br />200901774 <br /> <br />; . <br /> <br />Kind of Tax <br />(a) <br />941 <br /> <br />Tax Period <br />Ending <br />(b) <br />06/30/2008 <br /> <br />Identifying Number <br />(c) <br />11-3744370 <br /> <br />Date of <br />Assessment <br />(d) <br />11/10/2008 <br /> <br />Last Day for <br />Refiling , <br />(e) <br />12/10/2018 <br /> <br />Unpaid Balance <br />of Assessment <br />(0 <br />3560.39 <br /> <br />czt~ ~' <br /> <br />,,~; .". ..:,~!;!,,:. <br />.~.,.::'~1~~~\-it ; . <br /> <br /><.,- <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 />3560.39 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />27th day of February <br /> <br />2009 <br /> <br />, Signature <br /> <br /> <br /> <br />Title <br />REVENUE OFFICER 24-10--TTi:Q:.;.' <br />,for DANIELLE L MUELLER (402) 437-5462 x2912 ":-C <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien V""'<f, ; <br />Rev. Rul. 71-466, 1971 - 2 C.B, 409) Form 668(Y)(c) (Rev. 2-2004) <br />Part t . Kept By Recording Office CAT. NO 60025X <br />