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<br />04/08/2009 WED 15:55 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~004/009 <br /> <br />~ <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 <br /> <br />Area: Serial Number <br />WAGE & INVESTMENT AREA #2 <br />lien Unit Phone: (800) 829-7650 529534409 <br /> <br />As provided by section 632., 6322, and 6323 of the IlItemal Revenue <br />Code, we are givina a nodee that taxes (indudin, interest and penaldes) <br />have been assessed against 'the followlnl"namecl 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 belonpn, to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may aeaue. <br /> <br />Name of Taxpayer CRAIG L HANSEN <br /> <br />For ODtional Use by Recording Otfice <br />- <br /> <br /> <br /> <br />11111111111 <br /> <br /> <br /> <br />HANSEN CRRIG l Pg., f <br />Filed: 04/08/2009 11,19 RI1 <br /> <br />Residence <br /> <br />111 ARAPAHOE AVE <br />GRAND ISLAND, NE 68803-3816 <br /> <br />200902608 <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 defin~ <br />in IRC 6325(8). <br /> <br />Kind of Tax <br />(a) <br />1040 <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2003 <br />12/31/2004 <br /> <br />Identifying Number <br />(c) <br />XXX-XX-6049 <br />XXX-XX-6049 <br /> <br />Date of <br />Assessment <br />Cd) <br />OS/28/2007 <br />OS/28/2007 <br /> <br />Las! D~y to.r <br />ReDlin, <br />ee) <br />06/27/2017 <br />06/27/2017 <br /> <br />Unpaid Balance <br />of Assessment <br />(I) <br />2464.18 <br />3385.21 <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 />5849.39 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />27th day of March <br /> <br />2009 <br /> <br />the <br /> <br />Signature <br /> <br />Title <br />ACS <br />for DEBRA (800) 829-7650 <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity ot Notice of Federal Tax lien , / <br />Rev. Rul. 71466,1971 . 2 C.B~ 409) Form 668(Y)(c) (Rev. 2~2004). V <br />Pari: 1 . Kepc By Recordln. GRice CAT. NO 60025X ~ _ <br /> <br /> <br />12-00-0000 <br />