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05/21/2010 FR2 15:10 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Ha11 <br />~~ <br />Forn1 bb8 (Y)(c) <br />(lieu. February 2004) <br />Department of the Treasury -Internal Revenue Service <br />Notice of Federal Tax Lien 2 0 1 0 0 3 4 9 7 <br />Area: Serial Number <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800> 829-7650 654749810 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenge <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 for payment of this liability, bgt 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 amognt of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br />Neme of Taxpayer <br />ZABETH LO <br />Residence 3 07 2ND ST 4 <br />GRAND ISLAND, NE 68801 <br />For Optional Use by Recording Office <br />NE SYC o/ Slade Jahn R Gal• - OCC FTL <br />9910627950-8 Pgs: 1 <br />LOYA ELIZABETW <br />Filed: 05/21!2010 10:59 AM <br />1003/003 <br />IMPORTANT RELEASE 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 6325(a). <br />Tax Period Date of Last Day for <br />Kind of Tax Ending identifying Number Assessment ~ Ruling <br />1040 12/31/2003 XXX-XX-8804 12/28/2009 01/27/2020 <br />1040 1.2/31/2004 XXX-XX-8804 12/28/2009 01/27/2020 <br />1040 12/31/2005 XXX-XX-8804 12/28/2009 01/27/2020 <br />1040 12/31/2006 XXX-XX-8804 12/28/2009 01/27/2020 <br />Place of Filing <br />Register of Deeds <br />Hall POSOX 1692 <br />Grand Island, NE 68802-1692 <br />Unpaid Balance <br />of Assessment <br />5181.32 <br />3956.22 <br />8135.00 <br />3887.92 <br />Total ~ $ 2115 0 , 4 6 <br />This notice was prepared and signed at <br />the 11th day of May <br />Signature ~ <br />for SUSAN MEREDITH <br />ACS <br />(800) 829-7650 <br />14-00-0000 <br />CHICAGO, IL <br />2010 <br />on this, <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice pf Federal Tex lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Fprm 668(Y)(c) (Rev. 2-2004) <br />Part 1 - Kep[ By Recording Office CA7. NO 60025X <br />