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05/20/2009 WED 15:14 FAX 402 471 4429 UCC SECRETARY OF STATE a-~~ Hall <br />~~ <br />Form 668 (Y)(c) <br />lRev.~etiruary 20041 <br />8807. <br />bepartment of the Treasury -Internal Revenue Service <br />Notice of Fedeirai Tax Lien ~~_~w~:, <br />Area: Serial Number Far Optional Use 6 Recording Office <br />WAGE & INV~S~NT AR)'sA ~2 <br />Lien Unit Phone; (800) 829-7650 <br />5377327D9 HE s.~ <br />4. s`e`"°''^ A s~~a ucc c <br />As provided by section 6321, 632, 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 fallowing-named taxpayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, saQage7i84_a <br /> <br />t ere 1s a hen m favor of the United States on all property and rights to SEDAN DANIEL G Pgs: 1 <br />Fi 1Qd <br /> <br />property belonging to this taxpayer for the amount of these taxes, and : 05/202009 01:50 pp <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer DANIEL G SLOAN <br /> <br /> 2 0 0 9 0 3 9 3 8 <br />Residence 2636 SAINT PATRICK AvE APT 6 <br />GRAND ISLAND, NE 68803-1312 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled 6y the date given in column (e), this notice shall, <br />an the day following such date, operate as a certificate of release as defined <br />in IRC 6325(x). <br /> Tax Period Date of Last Dayy for unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refiling of Assessment <br />(a) (b) c) (d) (e) (~ <br />1040 12/31/2007. XXX-XX-7691 08/28/2006 09/27/2016 4786.02 <br />7.040 12/31/2003 XXX-XX-7691 08/28/2006 09/27/2016 4752.26 <br />1040 12/31/2005 XXX-XX-7691 05/22/2006 06/21/2016 2721.46 <br />1040 12/31/2007 XXx-XX-7691 06/09/2008 07/09/201$ 1629.57 <br />Place of Filing <br />Register of Deeds <br />Hall POSOX 1692 <br />Grand Island, NE 68802-1692 <br />Total ~ $ 13 8 8 9 .31 <br />This notice was prepared and signed at CHXCAGO, IL , on this, <br />the 17th day of April 2009 <br />Signature A Title <br />ACS 12-00-0000 <br />for DEBRA K. HURST (800) 829-7650 <br />i~1005/008 <br />r~ <br />i'- <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tex lien ~~ <br />Rev. Rul. 71-466, 7971 - 2 C.B. 409) Form 666(lt7(c) IRev. 2.20041 <br />Part 1 -Kept sy Recording Office CAT. NO 60D25X <br />