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07/06/2010 TUE 15:17 <br />Form bb8 (Y)(c) <br />IRev. February 2004) <br />Department of the Treasury -Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number <br />WAGE & INVESTN~7,VT AREA #2 <br />Lien Unit Phone: (800) 829-7650 670588110 <br />As provided by section 6321, b322, and 633 of the Internal Revenue <br />Cede, we are giving a notice that taxes (including interest and penalties) <br />have been assessed againxt 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 CARLOS RODRIGUE~ PACHECO <br />Residence 707 W CHARLES ST APT 4 <br />GRAND ISLAND, N8 68801-5568 <br />201004635 <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 far <br />Kind of Tax Ending Identifying Number Assessment Reuling <br />a (b c) d) e <br />1040 12/31/2006 XXX~-XX-3520 10/06/2008 11/05/2018 <br />1040 1z/31/zo0.7 xxx-XX-3520 o4/1z/aolo 05/12/zo2o <br />Place of Filing <br />FAX 402 471 4429 UCC SECRETARY OF STATE! ~~~ Hdll <br />35 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Far <br />X003/006 <br />Use by Recardinq Office <br />NC Spa of S!H• Jahn p Osle - U[[ FTC <br />9910631511-4 Pgs: 1 <br />R~ORIGUEZ PpCHECO CRRLO5 <br />Filed: 07/06/2010 12:57 PM <br />Total ~$ 15407.10 <br />This notice was prepared and signed at <br />the 23rd day of June <br />Signature ~ <br />for SUSAN MEREDITH <br />ACS <br />(800) 829-7650 <br />unpaid Balance <br />of Assessment <br />14--00-0000 <br />lwv~e: ~eruncate or othcer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien [~ <br />Rev. Rul. 71-46fi, 1971 - 2 C.B. 409) Form b68(X)(t) (Rev. 2-2004) `\\J\ <br />Part 1 -Kept ey Recording Office' CAT. NO 60025X <br />CHICAGO, IL <br />2010 <br />8016.88 <br />739o.z2 <br />on this, <br />