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0$/24/2009 MON 13:56 FAX 402 471 4429 UCC SECRETARY OF STATE ~yy Ha11 ~j004/005 5191 Department of the Treasury -Internal Revenue Service Form 66a cY)c~) Notice of Federal Tax Lien (R®v. February 2004) Area: Serial Number Far 0 tional Use b ReCOrdin office SMALL BUSINESS/S$LF EMPLOYI3D AREA,#4 Lien Unit Phone. (Soo) 829-3903 572524509 Ne sen c1 5lr1s John N B~r° - ucC KTr. As provided by section 631, 622, and 632 aF the Internal Revenue Code, we are giving 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 ali property and rights to Pgs ~ ' sss~a60s3a5-e roe Belo spay p p rLy nging to this er for the amount of these taxes, and FoP6dKA09~242®ms 11:61 AM additional penalties, interest, and costs that may accrrue. Name of Taxpayer RICHARD L TOPINKA 20090;000 Residence 648 SWAN LN GRAND ISLAND, NE 68801--8629 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the lien is refiled by the date given in column (e), this notice shall, an the day following such date, operate as a certificate of release as defined in IFtC 83251a). Tax Period Date of yy for Last Da Unpaid Balance IGnd of Tax Ending Identifying Number Assessment ~ Refili ng of Assessment (a (b) c) Cd) (e 1040 12/31/2006 XXX-$X-9434 11/24/2008 12/24/2018 107236.20 Place of Filing Register of Deeds Hall POSOX 1692 Grand Island, NE 68802-1692 Total ~$ 107236.20 This notice was prepared and signed at the 12th day of Augu:3t 2009 on this, Signature I Title /' ACS 24-00-0008 for MICHAEL W. COX (800) 829-3903 (NMiw Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal lax lien ~ v Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 6b8(lf~(t) (Rev. 2-2004) Part 1 - Kept By 1R~ecordin~ Office CAT. NO 6002bX CHICAGO, IL