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_ 08/17/2010 TUB 12:02 FAX 402 471 4429 UCC SECRETARX OF STATR ~~~ Hall I~I002/004 <br />f V' 1 <br />'~ }/ 3592 <br />l/ Form 668 (Y)(c) <br />ffiev. February 20041 <br />Department of the Treasury -Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLpYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 686229110 <br />As provided by section 632 f, 6322, and b323 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 United States an all property and rights to <br />property belonging to this taxpayer far the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer RUSSELL A EHLERS <br />Residence <br />214 S BROADWELL AVE <br />GRAND ISLAND, NE 68803-5444 <br />IMPORTANT RELEASE. INFORMATION: 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 following such date, operate as a certificate of release as defined <br />in IRC fi325(a). <br />For Optional Use by Recording Office <br />NE Sic of f;•;p Jahn p 6N ~ _ yCC FTC <br />9910834858-9 P9s: t <br />EMLERS RUSSELL q <br />Filed: X8/17/2010 09;07 qM <br />201005823 <br />Tax Period Date of Last Dar~rr for <br />Kind of Tax Ending Identifying Number Assessment Refiling <br />(a) b) (c d) (e) <br />1040 12/31/2007 XXX-XX-5856 07/12/2010 0$/11/2020 <br />1040 1.2/31/2008 XXX-XX-5856 07/12/2010 08/11/2020 <br />Unpaid Balance <br />of Assessment <br />2686.70 <br />3800.05 <br />Place of Filing <br />Register of Deeds <br />Ha].1 POBOX 1692 <br />Grand Lsland, NE 68802--1692 <br />Total ~$ 6486.75 <br />This notice was prepared and signed at <br />the 05th day of August <br />Signature <br />for KAY <br />2010 <br />CHICAGO, TL <br />on this, <br />Title <br />REVENUE OFFICER <br />(308) 384-4850 <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 By Recording Office Form 668(Y)(c) IRev. 2-200 I <br />CAT. NO fi0D25X <br />