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<br />04/23/2009 THU 15:18 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br /> <br />~ Fona 668 (Y)(c) <br /> <br />~003/003 <br /> <br />8801 <br /> <br />(Rev. Februarv 20041 <br /> <br />Department of the Treasury "Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />.. "-'., <br /> <br />Area: <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 535791209 <br /> <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are IIvln, a notice that taxes (indudlnr Interest and penalties) <br />have been assessed aaalnst the foUowlnl"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 rirhts to <br />property befooling to this taxpayer for the amount of these taxes, and <br />addidonal penaldes, Interest, and costs that may accrue. <br /> <br />Name of Taxpayer CATHRYN G HILMER <br /> <br />- <br /> <br />Serial Number <br /> <br />For Optional Use by RecordinCl Office <br /> <br />~~~.. <br /> <br />\1111111111 <br /> <br /> <br />9909594581-2 G <br />H~U'1ERd C0R4T/HR23i~009 02,14 PM <br />F11e : <br /> <br />200903095 <br /> <br />Residence <br /> <br />1811 N LAFAYETTE AVE <br />GRAND ISLAND, NE 68803-2653 <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 defined <br />in IRC 6325(a). <br /> <br />Kind of Tax <br />Ca) <br />1040 <br /> <br />Tax Period <br />Ending <br />Cb) <br />12/31/2006 <br /> <br />Identifying Number <br />(d <br />XXX-XX-8733 <br /> <br />Date of <br />Assessment <br />(d) <br />10/01/2007 <br /> <br />Last Day for <br />Renu... <br />Ce) <br />10/31/2017 <br /> <br />Unpaid Balance <br />of Assessment <br />(0 <br />'9242.97 <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 />9242.97 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO,. IL <br /> <br />, on this, <br /> <br />the <br /> <br />14th day of April <br /> <br />2009 <br /> <br />Signature <br /> <br />Title <br />ACS 12-00-0000 ~, <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 V ; <br />Rev, Rul. 71-466, 1971 - 2 C.B. 409) Form 668(y)(c) (Rev, 2-2004) . <br />P1lrt t . K~!!-J B!iY.~~r'I~ ('ffkoe . . CAT. NO 600?5X <br />.:' ~'.:J:::'i'~i'~--"':' ."::<::..' ;.,"n ",:'''':0.'.__'' ..,...,.,......;;:;.'.:~~~~... I....._~.. <br /> <br /> <br />L"t..:..,.jt; I <br /> <br />.... <br />. ','; ....:..;. ..:............., ....~~.r;" .;oJu'I..;:,:t',;::.,.~~_ ....::~-:" <br />