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09/29/2009 TUE 15:04 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hd11 <br />ll _. <br />~+~~+y LL~..~i.~.tVVI./ Lit liWit J- <br />GRAND ISLAND, NE 6$801-6203 <br />~~ 36$2 <br />Department of the Treasury -Internal Revenue Service <br />Farm 668 (Y)(c) a a <br />(Rev. February 2004) Nonce of Federal Tax Lien <br />Area: Serial Number <br />SMALL B[7STNESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 5g2gOg3pg <br />As provided by section 6321, 632,2, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assexxed against the following-named taxpayer. We have made <br />a demand for payment of this liability, but it remainx anpaid. Therefore, <br />there is a lien In #avor of the united States on all property and rlgha to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer PRESTON FOSTER <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is raffled by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />NE Sae of Ska!• Jehn R Gala -UCC FTL <br />F <br />9909608249-5 Pas: t <br />FD5TER PRESTON <br />Filed: 09!29!2009 09;58 AM <br />20090'7570 <br />Tax Period Date aF Last Dayy for <br />Kind of Tax Ending IdentiFying Number Assessment Refwling <br />(a) (b) c) (d ~ (e) <br />1040 12/31,/2002 XXX-XX-5424 10/29/2007 11/28/2017 <br />1040 12/31/2003 XXX-XX-5424 10/29/2007 11/2$/2017 <br />1040 12/31/2005 XXX-XX-5424 07/27/2009 08/26/2019 <br />Place of Filing <br />X005/005 <br />6463.63 <br />$831.42 <br />7773,64 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total ~$ 2306$ . 69 <br />This notice was prepared and signed at <br />CHICAC1C7, IL <br />the 17th day of SepteiT)ber 2009 <br />_._ <br />on this, <br />Signature ~ A ~/h - REVENUE OFFICER 24-10-1739 <br />for KAY PONTE (308) 3$4-4850 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is nat essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(t) (Rev. 2-20041 <br />Part 1 - IKept By Recording Otiflctr CAT. NO 60025X ~ . <br />Unpaid Balance <br />of Assessment <br />