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08/04/2010 iPBD 14:52 FAX 402 471 4429 UCC SECRETARY OF STATS ~yy Hall <br />~~ <br />CHICAGO, IL <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total ~$ 5626.87 <br />This notice was prepared and signed at <br />the 26th day of July <br />Signature ~ A <br />2010 <br />X004/005 <br />an this, <br />for SUSAN MEREDITH <br />ACS <br />(800) 829-7650 <br />14--00-0000 <br /> 3592 <br /> Department of the Treasury -Internal Revenue Service <br />Form 6d8 (Y)(c) Notice of Federal TaX Lien <br />(Rev. February 20041 <br />A <br />: Serial Number For Optional Use by Recordin Office <br />rea <br />SMALL BUSINESS/SELF EMPLOYED AREA #3 <br />Lien Unit Phone: (800) 913-6050 682151310 <br />As provided by section 4321, d322, and b323 of the Internal Revenue NE 5.0 -i Si-.- Jahn R 6.1• - l1CC FTL <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the following-named taxpayer. We have made <br />a demand fvr 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 8910633865-5 Pas: 1 <br />additional penalties, Interest, and costs that may accrue. F51ad~09~04l20R10 12:45 PM <br />Name of Taxpayer DAVID R & BRENDA K ASTRONES <br /> 201005501 <br /> <br />Residence p0 SOX 213 <br />DON'IPHAN, NE 68832 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled lay 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 IRG 8325(a). <br /> Tax Period Date of Last Dayy for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refiling of Assessment <br />(a) (b) (c (d) (e <br />1040 12/31/2002 XXX-XX-8967 02/07/2005 03/09/2015 5526.87 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is npt essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-456, 1971 - 2 C.B. 409) Form dba(Y)(c) (Rev. 2-20041 <br />Part 1 ^ Kept sy Recording Office CA'f. NO 50025X \~/, <br />