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06/14/2010 MON 14:11 FAX 402 471 4429 UCC SECRETARY OF STATE yyy Hall <br />11953 • <br />• Department .of the Treasury -Internal Revenue Service ~ n ~ O O ~ ~ ~ A <br />For <br />lao~m bb8 (Y)(c) V .7 <br />..... ... <br />.February 20041 ...' ot'tce of federaf...'~ax LMe~ •. - . <br />• Area: • Serial'Number For Qnti6nal Us:,i:;rti~ecardir,y Ufti:.c <br />$NAIaL. BUSINESS/SEL)~ . EMPLOXED 1~,.1t)+;A •#4 <br />'Lien Unit Phone: (II00) 913-6050 - 5528n5p10 • <br />•As-provided. by section 432,11, 632, and 6x3 of.the Intisrnal Revenue <br />• Code, we are giving-a notice that taxes (including interest and penalties) <br />- have been assessed against the•:following•narned• taxpayer. We have made <br />a d@mand for payment of this liability, but it• remains unpaid. Therefore, <br />. there is a •lien in favor of Cite •llnited States on all property anal tights to <br />• property belonging to this taxpayer• fpr •the amqunt of these taxes; and <br />additional penalties, interest, and Costs that nna~y accrue. <br />Name o:f Taxpayer. LYI~ThT M DE LOS ANGELES • <br />N6 9se of Si~ae Jehn R 6~1• - VC[ FTL <br />9910629868-5 PSS: 1 <br />OE LOS f1NGELE5 LYNN M <br />Filed. 08/14/2®10 1;40 PM <br />Residehce 3412 E COTTONW00)7. RD <br />KEARNEY, NE 68$45-.050 • <br />IMPORTANT RELEASE INFORMATION:.Far Bach assessment listed below, <br />unless notice af~the lien is 7efiled by the date given'in column (e), this notice shall, <br />on the day following such- dare, .operate .as a, certificate of release as defined ' <br />in IRC 63251a): . <br />. ~ Tax Period • . ' • Date of Last Dayy for . . <br />• Kind of Tax Ending Identifying Number Assessment Refiling <br />(a) fib) •.. ~~.. (d ~ <br />'6672 12/31-/2004• XXX-XX-6,1.76 03/26/2010 04/25/2020 <br />..'6.672 03/31/2005 • •XXX.-XX-x•6176• 03/.26/20].0 04/25/2020 <br />6672 <br />• 03/31/2D06 ;XXX~XX=6176 03/26/2010 D4/25/2020`•. <br />6672 <br />. 06/30/2006 'XXX-XX-.6176 03/26 <br />/201.0 .-04/25/2020 <br /> <br />6:672 <br />09/30/.20.06 <br />XXX-XX-6176:' . <br />03/26/2010 . <br />' 04/'25/2020 <br />_667.2. 12/31/2006 XXX-XX-6176. 03/26/2010 •04/2S/2020 <br />6672 03/31/20.07 XXX-XX-6176• 03/26•/2010 04/25/202,0 <br />• <br />6672 06/30/2007 XXX-XX-61.76 03/.26/2010 _ <br />04/2S/2020•'~ <br />•~ Unpaid•Balance <br />o~ ~4ssessment <br />_ f) <br />•].7613•.37 <br />2015.05 <br />9284.$3 <br />15284,. $2 <br />17029.00 <br />• 3.280.20 <br />6442.40 <br />12263 -•43 <br />Place of filing <br />Registrar of Deeds <br />xall Eosox 1692 • <br />Grand Island; NE 68802-1692 <br />Total $ 83213 - 10 <br />Thig novice was prepared and signed, at • _~ CHICAGO,T~IL-_ - <br />02nd June .• 201.0 <br />the --- ~._- daY of ---- __. <br />_...._:~.._ ___ .:~ , on this, <br />• Si nature ~ ~ <br />9 <br />~. <br />fox' MTCI~AF.L 6d PONTE <br />Title <br />REVENUE• OFFICEf2 <br />(308) 3$4-4$50. <br />~oo3ions <br />24-10~:L737 <br />(NO'~E: Certificate of officer authorized by iaw [p keke acknowledgment is not essential to the' validity nt Nc~ticc ~' =rder21 Tax lien (~ <br />Rev. Ru;.•7t-a66, 1971 - 2 G,B. ~i091 Farm i5513(Y)(e) (Rev. 2-2004) `\rJ` <br />1'ar[ 1 - rCepe By Recording Office • • r:AT. h0 6007.5X' <br />