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11/1Q/2p09 TUE 15:05 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hdll X002/005 5191 Department of the Treasury -Internal Revenue Service Form bbd (Y)(c) Notice of Federal Tax Lien 2 0 0 9 0 8 9 4 8 (Rev. February 2004) Area: Serial Number Ne s.~ oa s ..t. John R Gale -UCC RTL SMALTJ BUSTI~IESS/SELF EMPLOYED AREA #4 Lien Unit Phone: (800) 829-3903 594728109 As provided by section 6321, 6322, and b323 of the Internal Revenue Code, we. are gibing a notice that taxex (including interest and penalties) have been assessed against the following-named taxpayer. We have made ggag611737-5 P®* ~ 1 a demand for payment of this liability, but it remains unpaid. Therefore, PEENING MARTIN E Filed: 11/10/2009 10:48 AM there is a lien in favor of the United States on all property and rights to property belonging to this taxpayer for the amount of these taxes, and additional penalties, interest, and costs that may aarue. Name of Taxpayer MARTIN L PEENING Residence 317 W STOLLEY PARK RD GRAND ISLAND, NE 68801--7458 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the lien is refiled by the date given in column 1e), this notice shall, on the day following such date, operate as a certificate of release as defined in IRC 6325(a). Tax Period Date of Last Dayy for Unpaid Balance Kind of Tax Ending Identifying Number ~ Assessment Refiling of Assessment (a) (b) (c (d (e 7.040 ].2/31/2008 XXX-XX-4843 09/14/2009 10/14/2019 6282.89 Place of Filing Register of Deeds Hall POSOX 1692 Total $ 6282.89 Grand Island, NE 68802-1692 This notice was prepared and signed at the 2 ~~'~'' day of October Signature A for MICHAEL W. COX CHICAGO, IL on this, ACS (800) 829-3903 2400-0008 (NOTE: Certifica#e of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 71-466, 1971 • 2 C.B. 4091 Form 668(Y)(c) (Rev. 2-2004) Part 1 -Kept BY Recording Of6Ce CAT. NO 80025X