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12/22/20D9 TUB 15:37 FAX 402 471 4429 UCC S13CRETARX OF STATE yyM Hall <br />~~ 3592 <br />Department of the Treasury -Internal Revenue Service <br />dorm b68 (Y)(c) <br />IRev. February 2p041 Notice of Fede~rat Tax Lien <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOXED AREA #4 <br />Lien Unit Phone: (800) 913-6050 606993309 <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 following-named taxpayer. We have made <br />a demand far 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 ta~cpayer for the amount of these taxes, and <br />additional penalties, interest, and vests that may accrue. <br />Name of Taxpayer ROEL G ALONZO <br />Residence 2008 E SFEDLTNG MILE RD <br />GRAND ISLAND, NE 68$01-8306 <br />For <br />Use by Recording Office <br />NE Sqc of 5!e!o John p 6sAr <br />- u~c Fru <br />I <br />99096149®6-fi <br />ALDNZD ROt:L G p9s: 1 <br />rued: 12iaaizo®s oz:aa aM <br />~012/D12 <br />IMPORTANT RELEASE lN~ORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (el, this notice shall, <br />on the day fallowing such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />Tax period Date of Last Dayy for <br />Kind of Tax Ending Identifying Number Assessment. Refiling <br />(a) (b) (~) (d) (e) <br />1040 12/31/2004 xxX-xx-1395 os/o3/2009 o9/Q2/aai9 <br />1040 12/31/2005 XXX-XX--1.395 08/03/2009 09/02/2019 <br />Place of Filing <br />Regist=er of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1.692 <br />10182.43 <br />7672.70 <br />Total ~$ 1"7855.13 <br />This notice was prepared and signed at <br />CHICAGO, TL <br />2oosiooss <br />Unpaid Balance <br />of Assessment <br />the 11th day of December 2009 <br />Signature <br />for DANIELLE L <br />Title <br />REVENUE OFFICER 24-10-1720 <br />(402) 473-4675 x2912 <br />on this, <br />.•-~•~• ~~,~,~,~a~a ~~ unu.:~r auinonzea ay law to take acKngwlBdgment is not essential to the validity of Notice of Federal Tex lien <br />Rev. Rul. 71-466, 1977 - 2 C.B. 409) Form 668(Y)(e) (Rev. 2-2004- <br />Part t - Kept sy Recardins Office <br />CAT. NO 60025X ~, <br />