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11/12/2009 THU 14:28 <br />~~ <br />Form 66$ (Y)(c) <br />(Rev. February 20041 <br />8AX 402 471 4429 UCC SECRETARY pF STAT73 ~~~ Ha11 <br />Area: Serial Number <br />SMALL BUSYNESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (B00) 913-6050 595864109 <br />As provided Irir section 6321, b322, and 6323 of the Internal It,evenue ssesstts70-7 Peg: 1 <br />Code, we are giving a notice that taxes (Including interest and penalties) Nara(. LUIS a <br />have.been assessed against the following-named taxpayer. We have made Filed: 11/12/2009 08:91 aM <br />a demand for payNnent of this liability, but it remains unpaid. Therefore, <br />there is a Ilea in favor of the united States an alt property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additiorwl penalties, interest, and costs that may accrue. <br />Name of Taxpayer LUIS A NATAL <br />Residence PO BOX 1442 - <br />GRAND ISLAND, N$ 68802-1442 <br />IMPORTANT RELEASE INI:ORMATION: For each assessment listed below, <br />unless notice of the Lien is refiled by the date given in oolumn (e), this notice shall, <br />on .the aay following such date, operate es a certificate of release as defined <br />in IRC 632.5{a), <br />Tax Period Date of last Dayy >rtor <br />Kind.of Tax' ~ Ending identifying Number Assessment Refiling <br />a ~ b) (~) <br />so4o ~.z~/3i/aooz XxX-xX-8i71 <br />10.40 12/31/2003 XXX-XX--8171 <br />1040 12/31/2005 XXX-XX-8171 <br />Place of Filing <br />20090899"~ <br />.92 _.__. <br />Department of the Treasury -Internal Revenue Service <br />Notice Of Federal Tax Lien NE 5e[ of Sks~e John R Gale - llCC FTL <br />d ~ e <br />lz/18/zoo6 0~,/17/zo17 <br />12/18/zoo6. 01/17/~ao17 <br />o7/zs/loos o8/z7/zols <br />Registrer of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802--1692 <br />I~IQg4/004 <br />18138.36 <br />15719.37 <br />15890.83 <br />Total ~$ 4974,8.56 <br />This notice vvas prepared and signed at CHICAGO, TL <br />Unpaid Balance <br />of Assessment <br />th® 03rd day of November 2009 <br />on this, <br />Signature ~ A. ~ Title <br />REVENUE OFFICER 24--10--1737 <br />for MTCHASL W PONTE (308) 384-4850 <br />:....(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466, ]971 - 2 C.B. 409) <br />Part 1 -Kept By Recording Office Form 668(lr)(c) (Rev: 2-2004) <br />CAT. NO 60025X <br />