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08/24/2010 TUS 10:39 FAX 402 471 4429 [1CC SBCR$TARY OF STATE y»w Hall. <br />~, 3592 <br />Department of the Treasury -Internal Revenue Service <br />Form 668 (Y)(c) <br />IRev. February 2oa4i Notice of Federal Tax lien <br />Area: Serial Number For Options <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phana: (800) 913-6050 687840410 <br />As provided by section b321, 6322, and b323 of the Internal Revenue <br />Gods, we are giving a notice that taxex (including interest and penalties) <br />have been assessed against the following`named taxpayer. We have made <br />a demand For payment of this liability, but it remains unpaid. Therefore, <br />there is a lien in favor of the United States on all property and rights to <br />property belonging to this taxpayer far the amount of these taxe:, and <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer ALLAN D & BONNIE L STQBBE <br />Residence 7,10 W 13TH ST <br />GRAND ISLAND, NE 68801-362$ <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is r®filed 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 />Tax Period Date of Last Daayy for <br />Kind of Tax .Ending Identifying Number Assessment Reviling <br />,_. .. _ _ . <br />1040 I12/31/2Qp71 XXX-XX-9$$5 11/23/2009 12/23/2019 <br />1040 12/31/200$ X%X-XX-9$85 06/22/2009 07/22/201,9 <br /> <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />57098E ALl_i>r1 <br />Piled: 08124/2010 99:00 AM <br />~. <br />201005989 <br />unpaid Balance <br />of Assessment <br />X004/009 <br /> <br />8686.94 <br />2705.s2 <br />Total ~ $ 113 92 .76 <br />This notice was prepared and signed at <br />the ~'1th day of August <br />Signature ~ y ~~ <br />for DANIELLE L MUELLER <br />Title <br />REVENUE OFFICER 24-10-1720 <br />(402) 473-4675 x2912 <br />CHICAGQ, ZL <br />2010 <br />on this, <br />Use by Recording Office <br />(NOTE: Certificate of officer authorized by law to rake acknowledgment is not essential to the validity of Natic~s of Federsl Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form G68(Y)(c)'(Rev. 2-20041 <br />Part 1 -Kept BY Retarding Office <br />CAT. NO 60025X <br />