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03/24/2010 WED 15:21 FAX 402 471 4429 UCC SECRETARY pF STATE ~yy Ha11 I~g03/p04 <br />3592 <br />Department of the Treasury -Internal Revenue Service ' <br />Farm 668 (Y)(c) <br />(Rev. February 20oa- Notice of Federal Tax Lien 2 010 019 5 8 <br />Area: Serial Numlaer For Optional Use by Racordinp Office <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 6341584x0 <br />As provided by section 6321, b322, and 6323 of the internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assexsed 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 an 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 SYLVIA L CARRUTH <br />Residence 309 N DARR AVE <br />GRAND ISLAND, NE 68803-4743 <br />IMPORTANT R~L,~AS.Ir INFORMATION: For 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 defined <br />in IRC 8325(x). <br />Tax Period Date of Last Dayy For <br />Kind of Tax finding Identifying Number Assessment Refiiing <br />.... ,.. _ <br />NF Sa of S!.!. Jghn A Cst^ <br />- UCC FTL <br />9910622985-6 POE, 1 <br />FtB1edTM03 2x%2010 01:09 pM <br />l04o x2/37./2005 XXX-XX-4776 0~/0~/2006 07/o5-/ao~;6~ <br />1o41a 7.z/3x/2oo5 XXX-XX-4776 to/os/zoo? 11/o7/ao17 <br />Place of Filing <br />Register of Deeds <br />Hall FOBOX 1692 Total $ <br />Grand Island, NE 688021692 <br />Unpaid Balance <br />of Assessment <br />991.80 <br />991.80 <br />This notice was prepared and signed at - CHICAGO, IL <br />the 12th day of -March 2 010 <br />Signature <br />fnr t1~TT7 <br />A, <br />r- TRr7L~r r my <br />Title - <br />REVENUE OFFICER 24-10-1720 <br />(402) 473-4675 x2912 <br />••~ ~«~ ~y ~uw w iaKe acKnawiea~ment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71466, 1971 - 2 C.B. 409) <br />Part 1 -Kept sy Recording OflFice Form b68(Y)(c) (Rev. 2-2004) <br />CAT. NO 80025X <br />on this, <br />r <br />