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12/10/2009 THC] 15:13 FAX 402 471 4429 [7CC SECRETARY 08 STATE ~~~ Ha11 <br />Ia1002/003 <br />v 3592 <br />I]epartment of the Treasury -Internal Revenue Service <br />Form 66s cir)(c) Notre of Federal Tax Lien <br />IRRv. February •2004) <br /> <br />t' <br />'`~-:.,- <br />:~~ .>. <br />~.. . <br />~ .. , <br />:~. <br />•: <br />Aree: ~ Serial Number Far Optional Use by Recprdin pffice <br />SMALL BUBINE$8/SEI~P EMPLOYED AREA #4 ' <br />Lien Unit Phone: {800) 829-3903 603108409 <br />As provided by section 6321, b3Z2, and 63~Z3 of the Internal Revenue "" s.• °' st°t. J•M p 0°Ia - VG[ FTL <br />Cade, we are giving a notice that taxes (including Interest and penalties) <br />have been assessed against the following-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 United States on all property and rights to - <br />property belonging to this-taxpayer for the amount of these taxes, and 9909613816-7 - - -Pgs.~ .' <br />additional. penalties, interest, and costs that may accrue. FilaRdEeZi20/010%200~9 W1 4B~P~C1 <br />Name of Taxpayer WILFREDO RAMIREZ RODRIGIIEZ <br />f 200909730 <br />Residence ~ 947 S PINE 5T <br /> <br />. GRAND ISLAND,:NE 688.0-7944 <br />.::.. <br />:IMPORTANT Rtr1.I+ASE INFORMATION: For each assessment listed below, <br />unless;notice of the lien is refiled by the data given in column (e); this notice shall, <br />on' the, day following such, date, operate as a certificate of release as defined ' <br />in .IIiC '8325(a). <br />~ Tuc Period Date of Last Da for Unpaid Balance <br /> <br />~ICind ~oF ~'ax <br />Ending <br />identifying Number <br />Assessment ~ <br />Refi~ <br />ng . <br />of Assessment <br /> <br />•.`1040 12/31/2005 XXX-XX--4350 08/06/2007 09/05/2017 1.0058.86.... <br />f "~•~~Placc''of Filing <br />r,': .. - <br />~• - Register of Deeds <br />~` ~.•~ ~ Hall POBOX 1692 Total $ 10058.86 <br />. ~ Grand Island, NE 68802-1692 <br />-This notice was prepared and signed at CHICAGO, IL <br />on this, <br />the OXst day of ~ December 2009 <br />. • Signaxure . R Title <br />ACS 24-00-0008 <br />for .MICHAEL W. C.OX (80p) 829-3903 <br />(NOTE: Certificate of officer authariaed by law to take acknowledgment is not essential to the validity of Notice of Federal lax Ifen <br />• ~ Rev. Rul. 77-466, 1971 - 2 C.B. 409) Form G68(Y)(c) (Rev. 2-20041 <br />Part 1 -Kept By Recording Office CAT. NO fi0025X <br />;i• .. - <br />