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04/13/2010 TUE 14:44 FAX 402 471 4429 UCC SECRETARY OF STATE ~yy Hall <br />~' <br />!Form 668 (Y)(c) <br />(Rev. February 2004) <br />Department of the Treasury -Internal Revenue Service 2 010 0 2 4 6 8 <br />Notice o~ Federal Tax Lien <br />Use by Recording Office <br />Hrea: Serial Number <br />SMALL EUSTNESS/SELF };MP~,OYED AREA #4 <br />Lien Unit Phone: (8f)D) 913-6050 640286810 <br />As provided by section 4321, 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 foilowing-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 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 />of Taxpayer <br />1N(.:, a c:orporat:ron <br />Residence 2455 LAMAR AVE <br />GRAND ISLAND, NE 68803-6233 <br />For <br />N6 Sec of Skako John A 6aln - 0CC F~L <br />ssie6z4sti-5 ags: ' <br />Filed:~64N13~2010N12:2iCPMPORR <br />Foos/nay <br />Tax Period Date of last Da~yy for <br />Kind of Tax Ending Identifying Number Assessment Refilitlig <br />a) (b (c) (d) (e) <br />2290 07/01/2009 47-0860589 03/15/2010 04/14/2020 <br />IMPQRTANT RELEASE INFpRMATION: 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 th® day following such date, operate as a certificate of release as defined <br />in IFtC 6325(a}. <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Tsland, NE 68802-1692 <br />304.93 <br />Total ~$ 304.93 <br />This notice was prepared and signed at CHxCAGO, IL <br />the 01st: day of April <br />Signature ~ A. y <br />for MICHAEL W P~NTE <br />on this, <br />Title <br />REVENIIE ~FFTCER <br />1'anol ']Ce necn <br />Unpaid Balance <br />of Assessment <br />24-10-1737 <br />201D. <br />9 <br />(MOTE: 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) <br />a_.. + _ v......... e_~,..,~..-..~__ Form 668(Y)(c) (Rev. 2-2004) <br />