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07/O1/2gp9 WED 15:14 FA$ 402 471 4429 QCC SECRSTARX OF STAIR ~-~~ Hdll <br />.~ <br />X003/004 <br />~~ $801 ' <br />Department of the Treasury -Internal Revenue Service <br />Form sd8 (Y)(t) <br />• lRev. February 2004) Noti4e ~~ Federal Tax ~,~en 2 0 0 9 0 5 3 6 3 <br />Area: Serial Number F Ns see aI Sislo Jelin R 6~l• - UC[ ~L <br />WAGE & INVESTMENT A}ZEA #2 <br />Lien Unit Phone: (800) 829-7650 558046709 <br />As provided by section G321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed agairut the fallowing-named taxpayer. We have made 9809801047-0 a9: <br />A <br />9s0op0s <br />EP <br />D <br />M <br />a demand for payment of this liabll~ty, but it remains unpaid. Therefore, ~ <br />Q <br />~ <br />P <br />0~91~20® <br />there is a lien in favor of the united States on all property and rlghts.to <br />property belonging to this taxpayer far the amount of these taxes, and <br />additional penalties, interest, and vests that may accrue. <br />Name of Taxpayer CHRISTOPHER E ZEPEDA CANTU <br />Residence 518 ~; CApITAL AVE TRLR 43 <br />GRAND ISLAND, NE 68801-2472 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column le), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC B326ia-. <br /> Tax Period Date of t,ast Day for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Reuling of Assessment <br />a) b t d (e) (~ <br />1040 12/31/2005 XXX-XX-0341 04/30/2007 05/30/2017 12196.38 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total $ 12196.38 <br />Grand Island, NE fi8802--1692 <br />This notice was prepared and signed at <br />the 17th day of June <br />CHICAGO, IL <br />2009 <br />on this, <br />Signature A ~ Title <br />ACS 12-00-0000 <br />for DEBRA K. HI7RST (800} 829-7650 <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) _ Farm 668(lt7(c) IRev. 2-2004) <br />- ....,.,:.~.:,,,.... •,.-. .,_..:.. Part i -Kept ~- Rewrdlnit Office .,._...., ... CA7. ND 8002liX <br />