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(}05/27/2009 ~rEn 15:46 FAR 402 471 4429 UCC 58CRETARY OF STATE ywy Hall X003/004 <br />~1 <br />,U aaol <br />Form bb8 (Y)(c) <br />IRev..6ebruery Z0a4) ., <br />Department of the Treasury -Internal Revenue Service <br />Notice of Fedelra~ Tax lien..,•~. <br />Area: Serial Number <br />WAGS & zlsvSSTnRSrIT ARF~, #2 <br />Lien Unit Phone: (800) 829-7650 548321909 <br />As provided by section 6321, b32Z, and b323 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, bat it remains unpaid. Therefore, !, <br />there is a ben 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 aurae. <br />Name of Taxpayer DANIEL G SLOAN <br />NE Sac of 5i+~~ .IwM q 6+I+ - IICC FTL <br />9905597884-7 Pss: 1 <br />560RN DANIEL G <br />Filyd: ©512712009 02:49 PM <br />200904134 <br />Residence 2 6 3 6 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 refited 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 />Tax Period Date of Last D far <br />Kind of Tax Ending identifying Number Assessment Refi~ng <br />(a) (b c (d (e) <br />1040 12/31/2004 XXX-XX-7691 02/23/2009 03/25/2019 <br />1040 12/31/2006 XXX-XX-7691 02/23/2009 03/25/2019 <br />Place of Filing <br />CHICAGO, IL <br />For Optional Use by Recording pffice <br />Total ~ $ 12 7 0 6.12 <br />This notice was prepared and signed at <br />the 14th day of May <br />2009 <br />7308.55 <br />5397.57 <br />on this, <br />Signature ~ ~, )r~~C Title -- . <br />ACS 12-00-0000 <br />for DEBRA K. HURST (800) 829-7650 <br />(NOTE; Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 77-466, 1971 - 2 C.B. 409) <br />~,~:~-~ ~ . .:. . . .. ...... Form 6d (1r)( .,2004) <br />Register of Deeds <br />Hall PQBOX 1692 <br />Grand Island, NE 68802--1692 <br />unpaid Balance <br />of Assessment <br />