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11/10/2009 TUE 15:05 FAX 402 471 4429 UCC SECRETARY OF STATE ~~y Hall <br />off' <br />Farm 668 (Y)(t) <br />(Rev. February 2004) <br />5191 <br />Department of the Treasury -Internal Revenue Service <br />Notice of Federal Tax Lien 2 0 0 9 0 8 9 4 9 <br />Area: Serial Number <br />SMALL BUSINESS/SELF FMFLOYED AREA #q, <br />Lien Unit Phone: (800) 829-3983 g9g191g~g <br />AS provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the foiiowing-natned 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 United 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 accrue. <br />Name of Taxpayer RUSSELL A EHLERS <br />Residence 214 S BROADWELL AVE <br />GRAND ISLAND, NE 68803-5444 <br />NF Lac of Slala John p pay l1CC FTL <br />Foi <br />9909611738-7 pga_ 1 <br />FlledS RU.110/2009 10;48 AM <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column Ie), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />Tax Period Date of Last Dayy for <br />Kind of Tax Ending .Identifying Number Assessment Refiltng <br />1040 12/31/2004 XXX-XX-5856 03/09/2009 04/08/2019 <br />1.040 12/31/2005 XXX-XX-5856 03/09/20.09 04/08/207.9 <br />1.040 12/31/2006 XXX-XX=5856 03/09/2009 04/08/2019 <br />Place of Filing <br />X003/005 <br />68479.68 <br />46157.74 <br />45922.03 <br />Register of Deeds <br />Ha].1 POBOX 1692 <br />Grand Tsl.and, NE 68802-692 <br />Total I$ 160559.45 <br />This notice was prepared and signed at <br />the 30th day of October <br />Signature <br />CHICAGO, IL <br />2009 <br />on this, <br />for MICHAEL ~ W . COx <br />Title <br />ACS <br />(800) 829-3903 <br />lJnpaid Balance <br />of Assessment <br />24-00-0008 <br />(NOTE; Certificate of officer authorized by law to take acknowledgment is r-ot essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 4091 Form 668(Y)(c) (Rev. 2-2p04) <br />Part i -Kept lay Recording Office <br />CAT. NO 60026X <br /> <br />