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04/27/2010 TUS 15:32 FAX 402 471 4429 UCC SECRETARY ply STATE y~y Hall <br />3479 <br />~orrn 668 (Y)(c) <br />(Rev. February 2004) <br />Department of the Treasury -Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number For Optional Use <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829-3903 646'712310 <br />As provided by section 6321, G322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penakies) <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 far the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer JCTDY A RITTER <br />Residence 4 019 LAMBCHOP LN <br />GRAND ISLAND, NE 68803-2905 <br />IMPORTANT RELF.AS~ INF~RMATIQN: 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 6325(a-. <br />i~003/003 <br />2oioo2si4 <br />Recording Office - <br />NE Sve of S1asa ]ohn R Gslq - IICC FT4 <br />9910625'797-0 Pss: 1 <br />RITTER JWY A <br />Filed: 04/27!2010 02:46 PM <br />Tax Period Date of Last Dayy for <br />Kind of Tax finding Identifying Number Assessment Reuling <br />1040 ,12/31/2002 XXX-XX-2447 lp/29/2007 11/28/2017 <br />1040 12/3.1/2003 XXX-XX-2447 .10/29/2007 11/28/2017 <br />1040. 12/31/2004 XXX-XX-2447 1p/29/2007 11/2$/2017 <br />Place of Filing <br />Unpaid Balance <br />of Assessment <br />22401.82 <br />22521.49 <br />2675.83 <br />Register of Deeds <br />Ha11 POBOX 1692 <br />Grand Island, NE 68>3p2-1692 <br />Total ~$ 47599.].4 <br />This notice was prepared and signed at <br />the 20th day of April <br />CHICAGO, IL <br />2010 <br />on this, <br />Signature <br />for MICHAEL W, COX <br />ACS <br />($00) 829-3903 <br />24»00-0008 <br />(nuf;t: 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, 1871 - 2 C.e. 409) <br />Part 1 -Kept ey Recording Office Farm 668('Y)(c) (Rev. 2-2004) <br />CAT. NO 60025X <br />