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01/20/2010 WED 15:39 E~AX 402 471 4429 UCC SECRETARY OF STATE ~y~ Hall <br />Farm 668 (Y)(c) <br />(Rev. February 2004) <br />3592 <br />Department of the Treasury -Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number For Options <br />SMALL BCTSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829°3903 615411310 <br />As provided by section 6321, 6322, and b323 of the internal Revenue <br />Cade, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the following-nammi 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 <br />additional penalties, interest, and torts that may accrue. <br />Vame of Taxpayer CLARENCE A VOLKER <br />Residence p0 BOX 341 <br />GRAND ISLAND, NE 6$$02--0341 <br />(a) b c d (e) <br />1040 12/31/2005 XX%-XX-4963 06/22/2009 07/22/2019 <br />1040 12/31/2006 XXX-XX-4963 06/22/2009 D7/22/2019 <br />Tax Period Date of last Dayy for <br />Kind of Tax Ending Identifying Number Assessment Refiling <br />IMPORTANT R~i.EAS~ INFORMATION: Far each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defiined <br />in IRC 63251a-. <br />ialOD5/007 <br />Place of Filing <br />Regist=er of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 6$$02-1692 <br />This notice was prepared and signed at <br />the 12th day of January <br />Signature ~ <br />for MICHAEL W. COX <br />ACS <br />(800 $29-3903 <br />24-00-0008 <br />CHICAGO, 1L <br />2010 <br />Unpaid Balance <br />of Assessment <br />67254.06 <br />62356.91 <br />Total $ 129610.97 <br />r <br />on this, <br />Use by Recording Office <br />vvLKhJi CLARENCE q •" ~ <br />Fled: 01/20/2010 07:49 P!} <br />201000443 <br />(NOTE: 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 bb8(Y)(c) (Rev, 2-2004) <br />Part t -Kept By ltetordfng Office ~• <br />CAT. NO 60025X <br />