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08/18/2009 TU8 15: D3 FAR 402 471 4429 UCC SECRETARY OF STATE -~-~-~ Hall <br />88D1 <br />Department of the Treasury -Internal Revenue Service <br />Fornt bb8 (Y)(c) <br />(Rev. February 2oaa- '~''u°°^ -~ ~ Notice off. Federal Tax Lien <br />~OD4/pD4 <br /> <br />___ <br />Area: <br />$efial Number <br />Far Qptional Use by Recardin Office <br />SMALL BIISTNESS/SELF 13NlPLOYEb AREA #4 <br />Lien Unit Phone: (800) 913-6050 <br />571569.09 NE Ssc of Sts4- john p ca-e . ACC ~~ <br />As provided by section b321, b322, and b323 of the Internal Revenue <br />Cade, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the following-named taxpayer. We have made <br />a demand for payment of thus Iialbillty, but it remains unpaid. Therefore, ss0ss®asai-s P <br />, <br />s <br />there is a lien in favor Of the United States on all <br />property and ruts to s <br />: <br />t.urH DpLIGLgS C <br />F,-~d; ma„aizmas „:,s ~, <br />property belonging to this taxpayer for the amount of these takes, and <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer DOUGLAS C LUTH <br /> 2 O O 9 O G 8 5 8 <br />Residence 4312 N 90TH RD <br />CAIRO, NE 68824--9434 <br />IMPORTANT RELEASE INFORMATION: Far each assessment listed below, <br />unless notice of the lien is refiled by the data given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRG 8325(ai. <br /> <br />Kind of Tax Tax Period <br />Ending <br />Identifying Number Date of <br />Assessment Last Daayy far <br />Refilmg Unpaid Balance <br />of Assessment <br />a b c (d) (e <br />104D 12/31/2005 XXX-XX-5368 03/09/2009 04/08/2019 250669.70 <br />Place of Filing <br />Register of Deeds <br />Hall POSOX 1692 <br />Grand Island, NE 68802-1692 <br />Total ~$ 250669.70 , <br />This notice was prepared and signed at CHICAGO, IL <br />the 07th day of August 2009 <br />on this, <br />Signature ~ y ~~~~~ Title <br />REVEN[]$ OFFICER 24-1Q-1737 <br />fvr MICHAEL W PONTE (308) 384-4850 <br />(NOTE; Certificate of officer authorized by Isw to take acknpwledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rui. 71-466, 1971 - 2 C.B. 409) Form b68(lf7(c) (Rev. 2-20041 <br />•.r-_~-•.- _. ,... Pd1'E i - ICg1t 18~- RRtord)n~ Clffite :-`:CAT. •NQ 60025X <br />cyr :S. ...- . <br />