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12/22/2ppy Tr)E 15:36 FAX 4p2 471 4429 UCC S13CRETARY OF STATE ~yy Hall <br />3592 <br />Department of the Treasury -Internal Revenue Service <br />form bb8 (Y)(c) <br />IRev. February 2004- Notre of Federal Tax Lien <br />Area: Serial Number Far Qptianal Use by Recording Office <br />SMALL BUSINESS/SELF EMPLQ7f'ED AREA #4 <br />Lien Unit Phone: (8D0) 913-6050 606992809 NE Sec of Siet• Jahn p Gal. - uCG FTL <br />As provided by section b321, b322, 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 fallowing-named taxpayer. We have made <br />a demand for payment of this liability, .but it remains unpaid. Therefore, <br /> <br />there is a lien in favor of the United States an all property and rights to 9909814802-9 P9s: 1 <br />WQRSHQUER PAUL <br />property belonging to this taxpayer for the amount of these taxes, and F+ied: 12!22/2009 02:21 PM <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer PAUL WARSHAUER <br /> 20o91oos2 <br />Residence 217 N LOCUST ST STE 202 <br />GRAND ISLAND, NE 68801-5974 <br />IMPQRTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (al, 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 [Inpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refiling of Assessment <br />a (b (c d) (e) f) <br />.1040 12/31/2002 XXX-,XX-3616 05/26/2003 06/25/2013 40.58 <br />1040 12/31./2003 . <br />XXX-XX-3616 05/24/2DD4 06/23/2014 643.99 <br />1040 12/31/2004 XXX°XX-3616 02/09/2009 03/11/2019 3315.06 <br />1040 12/31/20D5 XXX-XX--3616 05/29/2006 06/28/2016 2555:,97 <br />Place of Filing <br />Register of Deeds <br />Ha11 POS~X 1692 Total $ <br />Grand Island, NE 68802-1692 <br />1008/012 <br />6555.40 <br />This notice was prepared and signed at CHICAGO, IL <br />the 11th day of December 2009 <br />on this, <br />Signature ~ A \~~~~ REVENUE OFFICER 24-10-1720 <br />for DANIELLE L MUELLER (402) 473-4675 x2912 <br />(NdTE: Certificate of officer authorized by law to take acknowledgment Is not essential to the validity of Nntice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409- Form b68(n(c) IRev. 2-2004) <br />Part 1 -Kept gy Recording office CAT. NQ sD025X <br />