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<br />05/06/2009 WED 15:12 <br /> <br />00 <br /> <br />FAX 402 471 4429 UCC SBCRBTARY OF STATB ~~~ Hall <br /> <br />1dI0 0 6/ 0 0 9 <br /> <br />8801 <br /> <br />Department of the Treasury. Internal Revenue Service <br /> <br />NQ~ice of Federal Tax Lien <br /> <br />200903502 <br /> <br />Form 668 (Y)(C) <br />(Rev. February 2004) <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 539892109 <br /> <br />A5 provided by section 6321, 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 EFRAIN VAZQUEZ ARROYO <br /> <br />For Optional Use by Recording Office <br /> <br />\11\11111111 <br /> <br />9909595736-2 PSIS: 1 <br />VAZQUEZ ARROYO EFRRtN <br />Filed: 05/0612009 10:34 AM <br /> <br />Residence <br /> <br />1414 SAINT PAUL RD TRLR 15 <br />GRAND ISLAND, NE 68801-2400 <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 IRe 6325(a). <br /> <br /> Tax Period Dace of Last Da~ for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Ref! Dg of Assessment <br />(a) (b) (c) (d) (e) (f) <br />1040 12/31/2003 XXX-XX-4107 02/25/2008 03/27/2018 8221. 85 <br />1040 12/31/2004 XXX-XX-4107 02/25/2008 03/27/2018 7723.01 <br />1040 12/31/2005 XXX-XX-4107 02/25/2008 03/27/2018 8669.43 <br />1040 12/31/2006 xxx-XX-4107 12/10/2007 01/09/2018 911. 54 <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 />25525.83 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />23 rd day of April <br /> <br />2009 <br /> <br />Signature <br /> <br /> <br />Title <br />REVENUE OFFICER <br />(308) 384-4850 <br /> <br />24-10-1744 <br /> <br />for PATRICK J KELLOGG <br /> <br />(NOTE: Certificate of officer authorized by law TO take acknowledgmenl's not essential to the validity o( NOllce of Federal Tax hen . <br />Rev. Ru!. 71.466, 1971 - 2 C.B. 409) . Form 668(Y)(c) (Rev. 2-2004) /\~\ <br />Pari I . Kept By Recordmg Office CAT. NO 60025X .' J') <br />