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07/02/2009 THU 15:19 FAX 402 471 4429 UCC SECRETARY OF STATE yy~ Ha11 <br />CHICAGO, IL <br />8801 <br />r,~~ Department of the Treasury -Internal Revenue Service <br />~ J Fonn bb8 (lt')(c) <br />(Rev. February 20041 .. Notice ~of Federal Tax lien ~ 0 4 9 0 5 4 0 6 <br />Area: Serial Number ~r,. rlnTinna~ use 6v Recording Office <br />SMA.LIJ BUSINESS/SELF EMPLOY '~ AR '~ $)4 ~ NE See o f S!~!e Jnhn p 6ple LltC FTL <br />Lien Unit Phone: (soo> 913-6p50 559190309 <br />As provided by section 621, b322, and b323 of the Internal Revenue <br />Cade, we are ghring a notice that taxes (Including interest and penalties) <br />have been assessed against the #allowing-named taxpayer: We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, 990960 114 8-0 pgg; ~ <br />there is a lien in #avor of the IJInlted States On all property and rights t0 Filed:R07 02/2009 09:19 RM <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 RONALD L SURES <br />Residence 1108 S SYCAMORE ST <br />GRAND ISLAND, NE 68801-7961 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is raffled by the date given in column (e), this notice shall, <br />on the day fallowing such date, operate as a certificate of release as defined <br />in IRC (3325(a). <br />Tax Period Date of Last Dayy for <br />Kind of Tax Ending Identifying Number Assessment Refiling <br />a (b c) (~) (a) <br />1040 12/3]./2006 XXX-XX-1069 05/11/2009 06/10/2019 <br />1040 12/31/2007 XXX-XX-1069 05/18/2009 06/17/2019 <br />1040 12/31/2008 XXX-XX-1069 06/01/2009 07/01/2019 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 688D2-1692 <br />1"his notice was prepared and signed at <br />the 22nd day of June <br />Signature ~ A <br />for KAY PONTE <br />Total ~ $ <br />Unpaid Balance <br />of Assessment <br />X005/005 <br />14306.08 <br />10548.91 <br />6332.45 <br />31187.44 <br />2009 <br />on this, <br />Title <br />REVENUE OFFICER <br />(30$) 384-4$50 <br />24-10--1739 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is nonessential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.6. 4091 Form bb8(Y)(c) (Rev. 2-2004) <br />_ Part f -Kept By Itrcording Office CAT. NO.60025X <br />