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O1/13/2D10 piED 14:45 FAX 40Z 471 4429 I7CC SECRETARY OF STATE yyy Hall Form 668 (Y)(c) (Rev. February 2004) X003/005 Department of the Treasury -Internal Revenue Service Notice of Federal Tax Lien f'+r'~~~ Senal Number For Q t~ona~ van v nacvramg orrice SMALL BUSINESS/SELF EMPLQYF:D AREA #4 Lien Unit Phone: (Boo) 829-3903 ~ 612209209 Ne s.~ da s~.t. ~,h„ q 6.1• - U[C FTL As provided by section b321, 63ZZ, and b3Z3 of the Internal Revenue Cade, we are giving a ~atice that taxes (including interest and penalties) have been assessed against the Followingnamed taxpayer. We have made a demand far payment of this liability, but it remains unpaid. Therefore, there is a lien in favor of the United States on all property and rights to ~ gg10816824-4 pa8; , DADEY NANCY 9 property belonging to this taxpayer for the amount of these taxes, and I F41ed: 01/13/2010 01:24 PH additional penalties, interest, and casts that may accrue- 3592 Name of Taxpayer B DADEY Residence 1123 S CHERRY ST GRAND ISLAND, NE 68801-8136 IMPORTANT RELEASE INFORMATION: For'sach assessment listed below, unless notice of the lien is refiled by the date given in column (e), this notice shall, on the day. following such date, operate as a certificate of release as defined in IRC 6325(a). Tax Period Date of Last Day for Kind of Tax Ending Identifying Nulmber Assessment Reflling a (b) (c) (d) e) 1040 12/31/2006 XXX-XX-9040 1./05/2007 12/05/2017 Place of 1riling Register of Deeds Hall POBOX 1692 Grand Island, NE 68802-1692 6356.78 Total ~$ 6356.78 This notice was prepared and signed at the 31st day of December CHICAGO, IL unpaid Balance of Assessment 2009 Signature ~ ~ for MICHAEL W. COX on this, ACS (800) 829-3903 24-000008 (NOTEr Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 77-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-20Q4.) Part 1 -Kept Icy Recording Office CAT. NO 60025X 2oiooo3l~