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07/06/2010 TUE 15:17 FAX 402 471 4429 UCC SECRETARY OF STATE yyy Hall 3592 Department of the Treasury - lnternal Revenue Service Form bb8 (Y)(t) (Rev. February 2D04) Notate of Federal Taft Lien Area: Serial Number For optional use SMALL BUSINESS/SELF EMPLOYED AREA #4 lien Unit Phone: (B00) 913-6050 670635910 As provided by section b321, b322, and b323 of the Internal Revenue Cade, we are giving a notice that taxes (including interest and penalties) have been assessed against the following-named taxpayer. We have made a demand for payment of this liability, but it remains unpaid. Therefore, there is a lien in favor of the united States on ap property and rights to property belonging to this taxpayer for the amount of these taxes, and additional penalties, interest, and casts that tnay accrue. Name of Taxpayer F SANCHEZ & A GONZALES-BRIZUELA ia1004/006 pffice NE Sec of Sl~~• Jehn R G~l• - tlCC FTL 9910631512_5 Pys: 1 scweH~z F Filed: 07/06!2010 12:57 PM ~olou4s~s Residence 1g2p W 10TH ST GRAND rSLAND, NE 6$$03 IMPQRTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the lien is refiled by the date given in column '(e), this notice shall, on the day following such date, operate as a certificate of release as defined in IfiC t3325(a). .. - _ I Tax period I I Date of I Last Dar~rr for Kind of Tax Ending Identifying Number Assessment Refiling 1D4D I12/31/2006I XXX-XX-9713 02/08/2010 03/09/2020 Place of Filing Register of Deeds Ha11 POBOX 1692 Grand Island, NE 68802--1692 Total ~ $ 8104 .4 0 This notice was prepared and signed at the 2 3rd day of Jt>u1e CHICAGO, IL Unpaid Balance of Assessment 2010 8104.40 on this, Signature ~ /~i ~~ Title REVENUE OFFICER 24-10-1744 for PATRICK J KELLOGG (308) 384-4850 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 71-4fifi, 1971 - Z C.B. 409) Form bb8(Y)(t) (Rev. 2-2DD Part 1 -Kept ray Recording Office CAT. NO fi0026X