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06/08/2010 TUE 13:39 FAX 402 471 4429 UCC SECRETARY OF STATE ~yy Hall <br />Form bb8 (Y)(c) <br />Iflev. February 2004) <br />8801 --._ <br />Department of the Treasury -Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number For Optional Use by Recording Office <br />SMALL HUSTNFsSS/SELF EMPLOX)aD AR}3A #4 <br />Lien Unit Phone: (900) E29-3903 660542510 Ne Sqc v~ S!.!e John A 6el^ -UCC FTL <br />As provided by section b3Y1, b322, and b323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assesxed against the following-Wanted 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 9910629421.9 Pas' 1 <br />property belonging to this taxpayer for the amount of these taxes, and F~led~e08/88/2010 04:04 RPM <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer CARLOS BERMUDE~ <br />Residence '707 SAINT PAi7L RD APT 3 2 O • O O ~ n <br />1 .7 <br />GRAND TSLAND, NE 6$$01-2771 <br />IMPORTANT RELEASE INFORMATION: Far each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (e), this notice shall, <br />an the day following such date, operate as a certificate of. release as defined <br />in IRC B325(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 12/31/2006 XXX-XX-4796 07/07/2008 0$/06/2018 322.89 <br />104D 12/31/2007 XXX-XX-4796 04/15/2008 05/15/2018 . <br />1040 12/31/2007 XXX-XX-4796 10/19/2009 11/18/2019 57480.03 <br />1040 12/31/2008 XXX-XX--4796 02/08/2010 03/09/2020 5520.16 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total ~$ 63323.08 <br />This notice was prepared and signed at CHICAGO, xL , on this, <br />the 26th day of May 2010 <br />Signature A Title <br />ACS 24-00-0008 <br />for MICHAEL W. COX (800) 829-3903 <br />(N07E: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-468, 1971 - 2 G.B. 409) Form 668(Y)(c) (Rev, 2-2004) <br />Part 1 -Kept By Recording Office CAT. NO 60025X <br />X002/007 <br />