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05/20/2009 PIED 15:1.4 FAX 402 471 4429 UCC SECRETARY pF STATE y~y Hall <br /> <br />i`artn 668 (Y)(c) <br />IRev. Fearuary zOD41 <br />801 <br />Department of the Treasury -Internal Revenue Service <br />K~~~,Notice of Federal Tax Lien <br />Area: Serial Number <br />WAGE & zNVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 537712409 <br />As provided by section 63Z 1, 6322, and 6323 of the internal Revenue <br />Gode, 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 />Name of Taxpayer MUSTAF S SHABELE <br />Residence 242 S SINE STREET <br />GRAND ISLAND, NE 68801 <br />24Q9Q3937 <br />X004/008 <br />IMPORTANT ItE1.EASE INi:ORMATiON: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in Column (a), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />Tax Period Date of last Dayy for <br />Kind of Tax Ending Identifying Number Assessment Refiling <br />(a) (b) __ (~) (d) (e) <br />1040 12/31/2005 XXX-XX-1453 04/1S/2006 05/15/2016 <br />1040 12/31/2005 XXX-XX-1453 11/06/2006 12/06/2016 <br />Place of Filing <br />NF Sae et S~sly Jel~„ <br />a 6.,a - ucc ct~ <br />~Or~ <br />9909597183-1 <br />SHA8E1-~ MUSTgF 5 P~s~ 1 <br />Filed; 05/20/009 0'1:50 PM <br />Register of Deeds <br />Hall POSOX 1.692 <br />Grand Island, NE 68802-1692 <br />5643.41 <br />Total ~ $ 5683 .41 <br />This notice was prepared and signed at <br />the 17th day of April <br />CHICAGO, IL <br />2009 <br />on this, <br />Signature ~ ~ ~y~'~~ _Title <br />ACS 12-00-0000 <br />for DEBRA K. HURST (800} 829-7650 <br />Unpaid Balance <br />of Assessment <br />., .~,,,_ <br />(nvr t: ~ertlticate or orlicer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466, 1871 - 2 C.B. 409) Form b68(Y)(c) IRev- 2-2004) <br />Part I -Kent By Recording Office CA7. NO fi0025X <br />