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<br />04/10/2009 FRI 15:20 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~006/006 <br /> <br />(}; <br /> <br />Form 668 (Y)(c) <br />(Rev. Februarv 20041 <br /> <br />8801 <br /> <br />D~partment 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 532302309 <br /> <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are living 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 rip" 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 BRETT A FLYNN <br /> <br />mllr~rll~ I : <br /> <br />9909593050-6 Pes: 1 <br />FLYNN BRETT A <br />Filed: 041101200901;55 PK <br /> <br />200902696 <br /> <br />Residence <br /> <br />2914 DEL MONTE AVE <br />GRAND ISLAND, NE ~8803-6161 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien Is refUed by the date given in column (e), this notice shell, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(8). <br /> <br />Kind of Tax <br />(a) <br />1040 <br /> <br />Tax Period <br />Ending <br />Cb) <br />12/31/2002 <br /> <br />Identifying Humber <br />(c) <br />XXX-XX-2955 <br /> <br />Date of <br />-Assessment <br />(d) <br />08/28/2006 <br /> <br />Last Day for <br />Reftling <br />Ce) <br />09/27/2016 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />10844.47 <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 />10844.47 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />03rd day of April <br /> <br />2009 <br /> <br />the <br /> <br />Signature <br /> <br /> <br />Title <br />REVENUE: OFFICER <br />(308) 384-4850 <br /> <br />24-10-1739 <br /> <br />for WILMA K PONTE <br /> <br />(NOTE: Cenificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rut. 71 -466. 1971 . 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004) t <br />Pare 1 . Kept By kordlbl or,ke _ .. CAT. NO 60026X \" <br />