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06/30/2010 WED 15:17 FAX 402 471 4429 UCC SECRBTARY OF STATE ~yy Ball <br />d~ <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />8801 <br />Department of the Treasury -Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYBD AREA, #4 <br />Llen Unlt Phone: (800) 829-3903 6700491J.0 <br />As provided by section 6321, 6322, and 632 of the Internal Revenue <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, 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 for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer REGNALD A MEIER <br />Residence 1 p 1 g N PINE ST <br />GRAND ISLAND, NE 68801-3947 <br />For nnf~.~..ai ~ ~.... ~..... .. _ . -. ---. <br />NF S•o of Siri• J•Nn A 6+1+ - l1CC FTC <br />9910631323-1 Pes; 1 <br />MEIER REGNRLD R <br />Filed: 06/30/2010 10:45 API <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 />an the day foltawing such date, operate as a certificate of release as defined <br />in IRC 6325(a-. ' <br />Tax Period Date of last Dayy far <br />Kind of Tax Ending Identifying Number Assessment Refiting <br />a) (b) (c) d) (e) <br />1040 12/31/1999 XXX-XX-237o 04/08/2002 05/08/2012 <br />1040 12/31/2004 XXX-XX-2370 03/16/2009 04/15/2019 <br />1040 12/31/2006 XXX-XX-2370 03/16/2009 04/15/2019 <br />Place of Filing <br />Register at Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total ~$ 13978.79 <br />This notice was prepared and signed at CHICAGO, IL <br />~oiou4~3o <br />Unpaid Balance <br />of Assessment <br />the <br />Signature <br />22nd day of June 2010 <br />r <br />an this, <br />for MICHAEL~W, COX <br />Title <br />ACS <br />(8001 829-3903 <br />24-00-0008 <br />X004/005 <br />664.74 <br />4126.63 <br />91$7.42 <br />~nvic: ~ernticate of officer authorized by law to take acknpwledgment is not essential to the validity of Nptice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409- <br />Part 1 -Kept sy Recording Office Form bb8(Y)(c) (Rev. 2-2004) ~~ . <br />CAT. NQ 60025X <br />