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06/30/2010 A1ED 15:17 FAX 402 471 4429 UCC SECRETARY OF STATE aa~ Hd11 <br />NE S4c of S1rla John A fi~lr _ p[C FtL <br />I <br />SANTYAGp1NIGUEI APONTE P9s: 1 <br />F11ea: ®sia®ize1a ~a:as AM <br />Farm 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 />WAGE & TNVESx'MENT AREA #2 <br />Lien Unit Phone: (800) 139-7650 670007310 <br />As provided by section 6321, 6322, and b323 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 />Vame of Taxpayer MIGIIEL APONTE SANTIAGO <br />Residence 424 N WHEELER AVE <br />GRAND ISLAND, NE 68801-4521 <br />IMPORTANT RIrLEASE INFORMgTiON: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column le), 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 Periad Date of Last Dayy for <br />Kind~of Tax finding Identifying Number Assessment Refiling <br />1040 12/31/2001 XXX-XX-2653 07/28/2008 08/27/2018 <br />1040 12/31/2002 XXX-XX-26S3 07/28/2008 08/27/2018 <br />1040 12/31/2004 XXX-XXm2653 07/28/2008 08/27/2018 <br />Place of Filing <br />Register of Deeds <br />Hall POSOX 1692 <br />Grand IsJ.and, NE 6$802-1692 <br />~oiou4~3i <br />lJnpald Balance <br />of Assessment <br />X003/005 <br />10302.81 <br />13538.96 <br />4757.69 <br />Total ~$ 28599.46 <br />This notice was prepared and signed at CHICAGO, IL <br />the 22nd day of June 2010 <br />Signature <br />for SUSAN <br />on this, <br />STH <br />Title <br />ACS <br />(800) 829--7650 <br />14-Op-0000 <br />~•~~...• ~.ni un~atts or omcer autnprized py law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. a09) <br />Part t -Kept Ity Recording Office Farm 6b8(1O(c) (Rev. 2-2004) <br />CA7. NO 60025X <br />