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07/07/2010 PiEA 12:3$ PAR 402 471 4429 UCC SECBETARX OF STATE ~~y Hall <br />C~ <br />Farm 668 (Y)(t) <br />(Rev. February 2pp41 <br />HE Sac ai Sls4a John A Oslr - YCC Fi4 <br />9910631623-i pes; 1 <br />ZIRKFI LESLIE SCOTT <br />Filed: 07/07/2010 09:51 Fil'1 <br />Department of the Treasury -Internal Revenue Service <br />Notice of Federal .Tax Lien <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 668017510 <br />As provided by section 63Z 1, 6322, and 6323' of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) ~~ <br />have been assessed against the fallowing-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 [Jnited 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 atclrve. <br />Name of Taxpayer LESLI$ SCOTT ZIRKEL <br />Residence 4 015 KA.Y AVE <br />GRAND ISLAND, NE 68803-1506 <br />For Optional Use by Recording Office <br />IMPORTANT RBLIrASE INI~oRMAT10N: 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 follpwing such date. operate as a certificate of release as defined <br />in IRG 6325(a), <br />Tax period Date of Last Dayy for <br />Kind of Tax finding Identifying Namber Assessment Refiling <br />201004664 <br />Unpaid Balance <br />of Assessment <br />X003/004 <br />1040 I12/31/2p081 XXX-XX-3799 05/24/2010 06/23/2020 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />37382.80 <br />Total ~$ 37382.130 <br />This notice was prepared and signed at <br />the <br />Signature <br />16th day of June <br />CHICAGO, IL <br />2010 <br />on this, <br />fyr KAY <br />Title <br />REVENUE OFFICER <br />(308) 384--~F850 <br />24-10-1739 <br />(NOTE: Certificate of officer authorized by 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. 409) <br />Part 1 -Kept gy Recording Office Form 668(Y)(t) (Rev. 2-2p 4) <br />CAT. NO 60025X <br />8801 <br />