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02/08/2010 MON 15:05 FAX 402 471 4429 UCC SECRETARY OF STATE yyy Hall <br />D~ <br />3592 <br />Department of the Treasury -Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMFLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 620826810 <br />Form bb8 (Y)(c) <br />(Rev. February 2004- <br />As provided by section b321, 6322, and b323 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 #or payment of this liability, but it remains unpaid. Therefore, <br />there is a lien in favor of the United States oin 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 />Name of Taxpayer GORDON LEVINSON <br />Residence 231.5 S .gzp,INE ST <br />GRAND ISLAND, NE 68$01-7304 <br />For Optional Use by Recordinn Office <br />Ni 8ec a~ $!N!^ Joiu1 A Gal^ ~ UCG FTL <br />9910619208-5 Pas; 1 <br />Fri lied 002G08~2010 10:12 Apl <br />201000877 <br />IMPpRTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the d8te given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 8326(a-. <br />Tax Period Date of ~ Last Day for <br />Kind of Tax Ending Identltying Number Assessment Reuling <br />(a) (b) c) (d (e) <br />1040 12/31/2003 XXX=XX-1124 08/07/2006 09/05/2016 <br />1.040 12/31/2004 Xxx-xx-1124 12/08/loos 01/07/2019 <br />1040 12/31/2006 XXX-XX-1124 12/07/2009 01/06/202.0 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Unpaid Balance <br />of Assessment <br />~oo5/oa7 <br />9359.20 <br />6413.14 <br />2623.55 <br />Total ~$ 18395.89 <br />This notice was prepared and signed at CHICAGO, TL <br />the 2 7th day of January 2 010 <br />on this, <br />Signature ~ A ~y~~ Title <br />REVENUE OFFICER 24-10-1744 <br />for PATRICK J KELLOGG (308) 384-4850 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to tha validity of Notice of Federal Tax lien <br />Rev. Rul. 71-488, 7 971 - 2 C.B. 409) <br />Part t -Kept SY Recordidg Oitke Farm 668(Y)(t) (Rav. 2-20041 <br />• CAT. NO 60025X <br />