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OS/10/2DD9 MOH 14:38 PAX 402 471 4429 UCC SECRETARY OF STATE y-~w Hall 3682 dorm 668 (Y)(c) (Elev. February Z9g4M~,.•,. Department of the Treasury -Internal Revenue Service Notice of Federal Tax lien ,;.~.~..._. Area: Serial Number For Optional Use by Recording C)ffice SMAI~I, BUSINESS/SFy'LF 13MPLQXED AREA #4 Lien Unit Phone: (800) 829-3903 569754709 ne s.G o~ st~i. John w s.r^ _ uc[ vn As provided by section b321, b322, and 6323 of the Internal Revenue Cade, we are ghring a notice that taxes (including interest and penalties) have been assessed against the following-named taxpayer. We have made a demand for payment of this liability, but It remains unpaid. Therefore, there is a lien in favor of the United States on all property and rights to 9908604338-8 Pgs: 1 THOMP50N GRRRY L property belonging to this taxpayer far the amount of these taxes, and Filvd: 08/10/2009 12:16 PM additional penalties, interest, and costs that may aurae. Name of Taxpayer GARRY L THOMPSON '~ ~ Q (.~ ~ s ~ 18 Residence 1108 BEAL ST GRAND zSLAND, NE 68801-2646 IMPORTANT RELEASE INFORMATION: Far each assessment listed below, unless notice of the lien is r~filed by the date given in column (e), this notice shall, on the day fallowing such date, operate as a certificate of release as defined in IRC 6325(a1. Tax Period Date of Last Dayy for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (a (b) c d e) (f) 7.040 12/31/2001 XXX-XX-6438 06/02/200$ 07/02/2018 6391.89 Place of Filing Register of Deeds Hall POBOX 1692 Grand Island, NE 68802-1692 Total ~$ 6391.89 This notice was prepared and signed at the Slst day of July Signature for MICHAEL W. COX on this, ACS (800) 829-3903 24-00-0008 X002/002 CHICAGO, IL 2009 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal 1'ax lien Rev. Rul. 71-468, 1971 - 2 C.B. x091 Farm bb8(ln(c) (Rev. 2-2004) r „ __.. Part 1 -Kept By Recording t>~ce CAI. NO 60025X :-~.