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<br />04/08/2009 WED 15:56 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~007/009 <br /> <br />& Fomo 668 00(<) <br />(Rev. Februarv 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 />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 529544009 <br /> <br />As provided by section 6321, 6322, and 6]2] of the Internal Revenue <br />Code, we are alvin, a notice t~t taxes (Includlnr interest and penalties) <br />have been assessed against the foUowInl'"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 belonlin, to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may acerue. <br /> <br />Name of Taxpayer JENNIFER I BONHAM <br /> <br /> <br />~T1. <br /> <br />9909592726-8 Pgs: 1 <br />BONHRM JENNIFER I <br />Filed: 04/08/2009 11;19 AM <br /> <br />Residence <br /> <br />2617 BRAHMA ST <br />GRAND' ISLAND, NE 68801-:-7615 <br /> <br />200902615 <br /> <br />IMPORTANT. RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien 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 IRC 6325(a). <br /> <br /> Tax Period Date of Last DI for Unpaid Balance <br />Kind of Tax Ending Identifyfnr Number Assessment left n, of Assessment <br />a) (b) . c. (d) e) (I) <br />1040 12/31/2000 XXX-XX-9866 07/24/2006 08/23/2016 1708.01 <br />1040 12/31/2001 XXX-XX-9866 07/24/2006 08/23/2016 9071.33 <br />1040 12/31/2002 XXX-XX-9866 07/24/2006 08/23/2016 13718.88 <br />1040 12/31/2003 XXX-XX-9866 06/04/2007 07/04/2017 11754.62 <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 />36252.84 <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 March <br /> <br />2009 <br /> <br />Signature <br /> <br />Title <br />ACS <br />for DEBRA K. HURsT (800) 829-7650 <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. 4091 Form "8(Y)(e) fRav. 2-20041 <br />Part. - Kept By Record"" OffIc:e CAT. NO 60025X <br /> <br /> <br />12-00-0000 <br /> <br />~ <br /> <br />~/ <br />