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08/04/2010 WSD 14:51 FAX 402 471 4429 UCC SBCRSTARY OF STATE ~y~ Hall <br />(~ 3592 <br />v Department of the Treasury -Internal Revenue Service <br />Form bb8 (Y)(c) <br />(Rev. February 2p04) Notice of Federal Tax Lien <br />Area: Serial Number For Optional Use by Recording Office <br />SMALL BUSINESS/SELF EMPLQYED AREA #4 <br />Lien Unit Phone; (800) 913-6050 682055810 NQ s« 4f st.ke ,,,,,~ p fiats . uCC pTl. <br />As provided by section b321, b32Z, and b3Z3 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the follarnring-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 an all property and rights to <br />991®633863-1 pya; ~ <br />property beionging to this taxpayer for the amount of these taxes, and Fai~R <br />~04% <br /> <br />additional penalties, interest, and casts that may accrue. 8B/ <br />2070 12:45 PM <br />Name of Taxpayer .ANDREW DANKER <br /> 20100549 <br />Residence 17.20 ORANGE RD <br />GRAND TSLAND, NE 68$01 <br />IMPQRTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refilad by the date given in column {e), this notice shall, <br />an the day following such date, operate as a certificate of release as defined <br />in IRC 63251a), <br />Tax Period Date of Last Dayy for <br />Kind of Tax Ending Identifying Number Assessment ReFiling Unpaid Balance <br />of Assessment <br />a) (b) c (d (e (~ <br />941 03/31/2001 4$-1233523 02/09/2D09 03/11/2019 3488.15 <br />941 06/30/2001 48-1233523 04/13/2009 05/13/2019 10310.77 <br />941 09/30/2001 48~-1233523 02/02/2009 03/04/2019 16787..75 <br />941 12/31/2D01 48-1233523 02/02/2009 03/04/2019 30737.05 <br />941 06/30/2002 48-1233523 02/02/2009 03/04/2019 36261.63 <br />941 09/30/2002 48-1233523 02/02/2009 03/04/2019 18825.29 <br />941 12/31/2002 48-1233523. 02/02/2009 03/04/2019 18882.70 <br />941 03/31/2003 48-1233523 02/09/2009 03/11/2p19 16426.77 <br />941 06/30/2003 48-1233523 02/02/2pp9 03/04/207.9 10609.56 <br />941 09/30/2003 48-1233523 D2/09/2009 03/11/2019 282.80 <br />Place of Filing <br />Register of Deeds <br />Hall. I~O;BOX 1692 <br />Grand Island, NE 68802-1692 <br />Total ~$ 162606.47 <br />This notice was prepared and signed at CHICAGQ, IL <br />the 26th day of July 2D10 <br />Signature <br />for KAY <br />Title <br />REVENUE OFFICER <br />(308) 384-4850 <br />on this, <br />i <br />24-10-1739 <br />~' <br />X002/005 <br />(NOTE: Certificate of officer authorized by law to take ecknawledgment is opt essential to the validity of Notice pf Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 6b8(Y)(c) (Rev. 2-2004) <br />Part 1 -Kept By Recording OfFce CAT. NO 60025X <br />