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12/28/2009 MpN 14:45 FAX 402 471 4429 UCC SECRETARY OF STATE yy~ Hall <br />Form bb8 (Y)(c) <br />lRev. February 2004) <br />Ia1007/007 <br />3592 <br />Department of the Treasury -Internal Revenue Service <br />Notice of FederaM Tax Lien <br />Area: Serial Number Fcr pptional Uae by Recording Office <br />SMALL BUSYNESS/SELF BMFLOYED AREA #4 <br />s-~ °+ 5.°~° J°hn A 6+L• -UCC Fn <br />Lien Unit Phone: (800) 829-3903 609303509 Ng <br />As provided by section 6321, 6322, and 6323 of the lnternai Revenue <br />Code, we are giving a notice that taxes (including interest and penaltiex) <br />have been assexsed against the following-named taxpayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, s9e~ts2sa_a Aga: t <br />there is a Lien in favor of the United States on all property and rights to. ~;z"ssrzems ,~:6s an . <br />Fii~ <br />property belonging to this taxpayer for the amount of these taxes, and d <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer KEVIN R DUFF 2 0 0 91014 8 <br />Residence PO SOX 5721 <br />GRAND ISLAND, NE 68802-5721 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below,. <br />unless notice of the lien is refiled by the date given in column {e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 8325{a). <br /> Tax Period Date of Last Dayy for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refiling of Assessment <br />(a) (b) (c) (d) (e) (t? <br />1040 7.2/31/2004 XXX-XX-605S 07/14/2008 08/13/2018 24067.04 <br />1040 12/31/2007 XXX-XX--6055 06/02/2008 07/02/2018 .3802.76 <br />1040 12/31/20D$ XXX-XX-6055 06/22/2009 07/22/2019 4809.73 <br />Place of Filing <br />Register of needs <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total ~ $ 32679.53 <br />This notice was prepared and signed at <br />the 18th day of December 2009 <br />on this, <br />Signature ~ f'~ ~~'~~~ Title <br />ACS 24-00-000$ <br />for MICHAEL W. COX (800) $29-3903 <br />CHICAGO, IL <br />(NOt'E: 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, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-20041 <br />Part 1 -Kept sy Recording Office CAT. NO 60025X <br />