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<br />05/06/2009 WED 15:12 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1210071009 <br /> <br />o <br /> <br />8801 <br /> <br />Department of the Treasury. Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />200903503 <br /> <br />Form 668 (Y)(c) <br />IRev. February. 20041 <br /> <br />..1'. <br /> <br />Area: Serial Number For Optional Use by Recording Office <br />SMALL BUSINESS/SELF EMPLOYED AREA i4 <br />Lien Unit Phone: (800) 91)-6050 539354109 <br /> <br />As provided by section 6321, 6322, and 632] 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 GERALD L BECK <br /> <br /> <br />Residence <br /> <br />312 S SYCAMORE ST <br />GRAND ISLAND, NE 68801-9238 <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 />(a) <br />1040 <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2000 <br />12/31/2002 <br /> <br />Identifying Number <br />(c) <br />XXX-XX-9768 <br />XXX-XX-9768 <br /> <br />Date of <br />Assessment <br />(d) <br />08/28/2006 <br />08/28/2006 <br /> <br />Last Day for <br />Reflllng <br />(e <br />09/27/2016 <br />09/27/2016 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />3515.64 <br />3676.16 <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 />7191.80 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />22nd day of April <br /> <br />2009 <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: Certilicate or officer aUlhori2ed by law 10 take acknowledgment is not essential to the validity 01 Notice 01 Federal Tax lien, <br />Rev. Ru!. 71-466.1971.2 C.B. 4091 Form 668(Y)(c) (Rev. 2'2004l\~\) <br />Part 1 . Kepi By Recording Office CA T. NO 60025X ~ . . <br /> <br />.., <br />