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07/07/2010 wEn 12:38 FAX 402 471 4429 UCC SECRETARY OF STATE y-~~ Hall X002/004 88D1 Department of the Treasury -Internal Revenue Service 6orm 668 (Y)(c) (Rev. February 2D04) Notrte O~ Federal Ta,X Llen _ __ Area: Serial Number WAG1r & INVESTT1l~NT ARF,A #2 Lien Unit Phone: (B00) 829-7650 667975010 As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, 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 all property and rightx to property belonging to this taxpayer for the amount of these taxes, and additional penalties, interest, and costs that may accrue. Name of Taxpayer AHMAT DAOUD ISMAIL For Optional Use ey Racordinst Office NE Srr of S!r!v John A Grl^ OCL FTL 9910631622-9 P9s: f TSMpTI. RHMRT DAOUD Filed: ©7!0712010 08:61 AM Residence PO BOX 813 2 0 i o 0 4 6 6 3 GRAND ISLAND, NE 6$802-0813 IMPORTANT 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 IRC 6325(a). ' Kind of Tax Tax Period Ending Identifying Namber Date of Assessment Last Dayy for Refiling Unpaid Balance of Assessment (a) b) (c d) (e) (~ 1040 12/31/2004 XXX-XX-341]. 08/14/2006 09/13/20.15 3667.67 1040 12/31/2005 XXX-XX-3411 06/22/2009 07/22/2019 1950.70 1040 12/31/2006 XXX-XX-3411 05/25/2009 06/24/Z019 2163.44 1040 12/31/2007 XXX-XX-3411 06/29/2009 07/29/2019 2342.02 1040 12/31/2008 XXX-XX-34].1 06/22/2009 07/22/2D19 ].632.80 Place of Filing Register of Deeds Hall POBOX 1692 Total $ 11'756.63 Grand Island, NE 68802-1692 This notice was prepared and signed at CHICAGO, TL on this, the Signature 16th day of June 2010 for SUSAN MEREDITH Title ACS (800) 829-7650 14-Op-0000 ~........ ~.cl 11111.G1G VI ul Ilcar autnorizea py yaw to take acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Part 1 -Kept ay Recordieg Office Farm 668(X)(1) (Rev. 2-200 CAT- NO 617025X''.