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D7/13/2009 Mb>!1 14: S1 FAx 402 471 4429 UCC SSCRBTARY pP STATB -~~-~ Hall <br />~00,7/OD7 <br /> 8801 __.. <br /> Dtmerlt of the Treasury -Internal Revenue Service <br />~ ass mc~) <br />'Fe6 <br />2 <br />04 ~deral; Tax Lien., . <br />Hotice off: <br />. <br />ruary <br />) <br />(Mv. <br />0 . <br />*• . ;r.~. <br />Area• Serial Number For O banal use by Reco ~ Officer <br />SMALL Bt1BINESS/S}'sLF SMPLOYSD AREA #4 <br />Lien Unit Phone: CS00) 913-6050 563063709 <br />IINSea ~/ 6~a~r .fahn R 6a1• - 1/CC FTL <br />As provided Iry section 63Z1~ b3Z2, and 6323 of the lntirrllai Rii~vell~le <br />Code, we are givie8 a nptite that taxes (~ncludhlg htterest iMIXZ penalties) <br />118ve 11!!11 assessed against the Foll~ted ta7fpayel'. W! 11at1! made <br />a dmnar~l For payment of the IiabWtyr brrt it n~nahls . Therefore, <br />,ttltet+! it a ~t In Favor of the Wilted States ;on ~ property and rights to tesi-~, . ~ : , <br />,pro~rty beioA to this ~ folr the t of these tares, and p~igTINEZ•rua~c;ti1~ <br />~ixea: 0~rt3~20a9 ~t:aa ~+ <br />addldonal .poilalties, hlterest, and casts that may accirla. <br />Name of Taxpayer MARi~AR TINBZ <br /> 2009o57os <br />Residence 418 1/2 N NHHELFR AVE <br />.GRAND ISLAND, N$ 68801-4521 <br />IMPORTANT RIr1.EASE INI:ORMATION: For each assessment listed below, <br />unless notice of the lierti is refiled by the date given In column (e?, this notice shall, <br />on the day following such .date, operate es a certificate ,of release as defined <br />in IRC 63251ai. <br /> Tax Period Date ~ Last for <br />R unpaid Bamnce <br />Kind of Tax Ending Idwl~jfilp 1~lwnber Assessnwnt ng of Assessment <br />a lb) ~ c d (e <br />1040 12/31/2000 XXX-XX-5693 09/18/2006 10/18/2016 9024.89 <br />..1040 12/31/2001 XXX-XX--5693 09/18/2806 ,.10/18/2016 17926.35 <br />1040 12/31/2002 XXX-XX-5653 09/18/2006 10/18/20~~c6 - ~ 15202.96 <br />1040 12/31/2003 XXX-XX-5693 09/18./2006 . 10/18/2016 15792.07 <br />Register of Deeds <br />Hall POBOX 1692 Total $ 57946.27 <br />Grand Island, N8 68':802-1692 <br />Place of Piling <br />This notice was prepared and signed at ~~~'~' IL , an this, <br />.~® 07th day of July 2009 • <br />Signature A Title ~ • <br />RSVSN~TS OFFICER 24-10-1737 <br />for MICHAEL l+i PONTL (308 384-4850 <br />(NOTES Certificate of officer authorized by law to take acknowledgment i® not essential tc the varxifry of Notice of Federal Tax lien <br />Rev. Rul. 71-468, 1971 - 2 C.B..4091 Form 668(1f)(c) (Rev. 2.2004) <br />.....,.v ~•- ._ ...... Part t •~°°K~ ~ IRecordias O[Ace _ ~ ., .... ,.....~ CAT. NO 60025X vVV ,~~ <br />