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03/15/2010 MON 15:35 FAX 402 471 4429 UCC SECRETA1tY OF STATE ~yy Hall <br />~~ <br />X003/003 <br />V <br />Form 668 (Y)(c) <br />(Rev. February 20oa) <br />3592 <br />Department of the Treasury -Internal Revenue Service <br />Notice of Federal Tax 1,ien <br />r+rGa: Serial Number <br />SMALL BUSINESS/SEL)a EMPLpYED AREA #4 <br />Llen Unit Phone: (800) 913-6050 632693010 <br />As provided by section b321, b322, 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 far payment of this liability, but it remains unpaid. Therefore, <br />there is a lien in favor of the united States on ail 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 MARIA SILVA SANCHEZ <br />Residence 539 E 12TH ST <br />GRAND ISLAND, NE 68801-3874 <br />For Optional Use by Recording Office <br />N! f.a rr slr4r Jahn A 6rtr - u[C CTI. <br />99106Zx35Z-5 Pgs: f <br />s>:uva sRnlcl~z waRla <br />Flled: 03/1s/2070 10:29 AM <br />IMPORTANT REI,F.ASE 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 />an the day following such date, operate as a certificate of release; as defined <br />in IRC 6325(a). <br />' Tax Period Date of Last Dayy for <br />Kind of Tax Ending identifying Number Assessment Refiling <br />(a b _ (c) (d) .(e) <br />1040 12/31/2005 XXX-XX-0942 04/02/2007 05/02/2017 <br />1040 12/31/2005 XXX--XX-0942 04/28/2008' 05/28/2018 <br />1040 12/31/2006 XXX--XX--0942 04/09/2007 05/09/2p].7 <br />1040 12/31/2006 XXX-XX-0942 04/2$/2008 05/28/2018 <br />Place of Filing <br />Register of Deeds <br />Hall POBOx 1692 <br />Grand Island, NE 68802-1692 <br />Total ~$ 4077.14 <br />This notice was prepared and signed at <br />the <br />Signature <br />09th day of March <br />for DANI <br />201ooi7~s <br />Unpaid Balance <br />of Assessment <br />2109.75 <br />1967.39 <br />L MUELLER <br />an this, <br />Title <br />REVENUE OFFICER 24-10-1720 <br />(402) 473-4675 x2912 <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. 4091 Form Fi68(Y)(c) (Rev. 2-2004 <br />Part f - Kept BY Recording Office <br />cAr. No rioo2l;x <br />. ' <br />CHICAGO, IL <br />2010 <br />