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05/06/2010 THU 14:33 FAX 402 471 4429 UCC SECRETARX OF STATE ~yy Hall X004/004 <br />3592 <br />Department of the Treasury -Internal Revenue Service <br />Form 668 (Y)(c) Notice of Federal Tax Lien <br />(Rev, February 2004) <br />Area: Serial Number For Optional Use by Recording Office <br />WAGE & INVESTMENT AREA #2 <br /> <br />Lien Unit Phone: (800) 829-7650 <br />649365410 NE Bat ai Slate John A Galc - pCG FTL <br />As provided by section b32 t, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the fallowing-named taxpayer. We have made <br />a demand far payment of this liabiliry, but it remains unpaid. Therefore, <br /> <br />there is a lien !n favor of the United States on all praperry and rights to gg10626586~4 Ags: 1 <br />LIVINGSTON ROBERT E <br />praperry belonging to this taxpayer far the amount of these taxes, and Filed: 05/W6/2010 11:3fi AM <br />additional penalties, interest, and cysts that may accrue. <br /> <br />Name of Taxpayer ROBERT E LIV7:NG$TQN nnpp <br />2 U l U O 3 V 0 0 <br />Residence 1426 N GRAND ISLAND AVE <br />GRAND ISLAND, NE 68803-3029 <br />IMPORTANT RELEASE INFORMATION: Por 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 /> Tax Period Date of Last Dayy for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refiling of Assessment <br />(a) (b) (c) (d) (e) (f) <br />1040 12/31/2003 xXX-XX-3577 07/17/2006 08/16/2016 379.41 <br />1040 12/31/2004 xxX-XX-3577 06/12/2006 07/12/2016 1195.50 <br />1040 12/31/2005 XxX-XX-3577 09/04/2006 7.0/04/2016 2443.53 <br />1040 12/31./2007 XXX-Xx-3577 05/26/2008 06/25/2018 229.27 <br />1040 12/31/2008 xXX~-Xx-3577 06/22/2009 07/22/2019 766.01 <br />Place of Piling <br />Register of Deeds <br />Hall ~osox 1692 Total $ 501.3.72 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the 27th day of April. 207.0 <br />Signature A Title <br />ACS• 14-00-0000 <br />for SUSAN MEREDITH (800) 829-7650 <br />(NOTE: Certitica#e of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-46Fi, 1971 - 2 C.B. 4091 Form 668(Y)(t) IRev. 2-2004) <br />• Part 1 - Kit sy RecordinE Office CAT. NO 60025x <br />