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10/27/2009 TUB 15:07 FAX 402 471 4429 UCC SECRI3TARX OF STATE -~yy Hall <br />Farm db8 (Y)(c) <br />(Rev. February 20041 <br />boas/oo9 <br />682 _......_... _ <br />Department of the Treasury - lntemal Revenue Service 2 0 0 9 a ~ 5 $ o <br />Notice of Federal Tax Lien <br />Area: Serial Number <br />SMALL BUSTNT3S/5TLF EMPLOYED AREA. #4 <br />lien Unit Phone: (900) 913-6050 590399309 <br />As provided by section 6321, 6322, and 6323 a# the internal Revenue <br />Code, we are giving a nodce that taxes (including interest and penalties) <br />have been assessed against the fallowing-named taxpayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there is a lien .in favor of the [Inited States on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may aurae. <br />Name of Taxpayer <br />SANCHE~ JR <br />Residence 7332 N BROADWELL AVE <br />GRAND ISLAND, NS 6$$03-3051 <br />For Optional Use by Recording Office <br />NE Sao of Stale John R Gale - 0CC FTL <br />8909610581-3 Pas: 1 <br />SRNCHEZ FRANK JR <br />Fi3od: 10/27!2009 11:54 qM <br />IMPORTANT RELEASE INFORMATION: For each -assessment listed below, <br />unless notice ~of the Ifen is refiled by the date given in column (e), this notice shall, <br />on the day fallowing such date, operate as a certificate of release as defined <br />in IRC 632ii(a). <br /> Tax Period Date of Last D for <br />~ unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refi <br />g of Assessment <br />(a) (b) c) (d) (e <br />1040 7.2/31/2000 xxx-xx-5319 03/19/2007 04/18/207.7 2703.77 <br />1040 12/31/2007 XXX-XX-5319 03/7.9/2007 04/1$/2017 367.3.].8 <br />Place of Filing <br />Register of Deeds <br />Hall POSOX 1692 <br />Grand Island, NE 68802-1692 <br />Total 15 <br />637.6.95 <br />This notice was prepared and signed at <br />the 75th day of October <br />CHICAGO, IL <br />2009 <br />an this, <br />Signature A Title <br />REVENUE OFFICER 24-10-1744 <br />for PATRICK J KELLOGG (308) 384-4$50 \ / <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien ~,J <br />lieu. Rul. 71-466, 1971 - 2 C.B. 409) - __ - - ., ~~ Form 668(lU(c) (Rev. 2-.20041 <br />