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01/20/2010 WEn 15:40 FAX 4D2 471 4429 UCC SECRETARY OF STATE ~yy Ha11 <br />3592 <br />Department of the Treasury -Internal Revenue Service <br />Form 668 (Y)(c) <br />(Rev. February 2004) Notice of Federal Tax Lien <br />Area: Serial Number For Options <br />SMALL Bi]SINESS/SELF EMPLOYF,D AREA #4 ' <br />Lien Unit Phone: (800) 913-8050 615455410 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Cade, 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 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 costs that may accrue. <br />Vame of Taxpayer STEVEN E MEYER <br /> <br />Residence 4156 IOWA AVE <br />GRAND ISLAND, NE 6$803-1151 <br />IMPORTANT RELIi;ASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is raffled 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 63261a). <br /> <br />Kind of Tax Tax Period <br />Ending <br />ldentlfying Number Date of <br />Assessment Last Dayy for <br />Raffling <br />(a) (b) c) (d) (e) <br />941 09/30/2006 $4-1643846 09/28/2009 10/28/2019 <br />941 09/30/2009 84-1643846 12/28/2009 01/27/2020 <br />place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />N6 Soc of S\NN Jehn A p~lr l1CC FTL <br />ME ER6STE ENE P9s. ) <br />Ft~.a: efiaeizmim m1:as pM <br />2.01000444 <br />Unpaid Balance <br />of Assessment <br />X006/007 <br />4930.86 <br />1014,01 <br />Total ~$ 5944.87 <br />This notice was prepared and signed at CHICAGO, IL <br />the 12th day of January <br />Signature ~ H <br />for ERIC MARTIN <br />2010 <br />on this, <br />Title <br />REVENUE OFFICER <br />/dn~1 n77_nc~n <br />24-10-1721 <br />(NOTB: Certificate of officer authprized by law to take ackncwledgment is not essential to the validity pf Notice of Federal Tax lien <br />Rev. Rul. 77-466, 1971 - 2 C.B. 409) j <br />Pan 1 - Ke1Pt sy Recordin8 Ofl'ice Form b68(Y)(c) fRev. 2-20041 <br />CAT. NO 60025X <br />Use by Recording Office <br />