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OB/04/2D10 W8D 14:52 FAX 402 471 4429 UCC SECRETARY OF STATS ~~~ Hall <br />i" t _ <br />X005/005 <br />3592 <br />Department of the Treasury -Internal Revenue Service <br />Form 668 (Y)(c) <br />Ir1ev. February 2004) Notice of Federal Tax Lien <br />Area: Serial Number Far pptional Use by Recording Office <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 682482010 <br />NE Sre of S~.ta Jehn A 6.Ir - IJ[C KTL <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 following-named taxpayer. We have made <br />a demand far 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 gg10633a~i-8 Pas ~ 1 <br />property belonging to this taxpayer For the amount of these taxes, and NUNO LOPEZ J RHYE5 <br />additional penalties, interest, and costs that may atcnre. Fllad: 09/04/2010 12:45 PM <br />Name of Taxpayer J REYES NUNO LOPEZ <br /> 201005502 <br />Residence PO BOX 271 <br />GRAND ISLAND, NE 68802 <br />IMPORTANT RELEASE INFORMATI~IiI: For each assessment listed below, <br />unles9 notice of the lien is refiled by the date given in column (e), this notice shall, <br />on the dey following such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br /> Tax Period Date of Last Dayy for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refilin g of Assessment <br />a) (b) (c) d (e) (f) <br />1040 12/31/2005 XXX-XX--8836 12/08/2008 01/07/2019 17584.94 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total $ <br />Grand Island, NE 68802-1692 <br />17584.94 <br />This notice was prepared and signed at CHICAGO, ZL <br />the 27th day of July 2010 <br />on this, <br />Signature y~ ~ y~ Title <br />~J ACS 14-00-0000 <br />for SUSAN MEREDITH (800) 829-7550 <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. 71-486, 1971 - 2 C.B. 409) Form bb8(Y)(t) (Rev. 2-2D041 <br />' Part 1 -Kept By Recording Office CAT. NQ 6D025X <br />