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0$/30/2010 MON ].5:56 FAX 402 471 4429 UCC SECRETARY OF STAIR ~~~ Hdll <br />~~ 359 <br />Form 668 (Y)(t) <br />IRev. February 2004) <br />Department of the Treasury -Internal Revenue Se~•~~~ <br />ucc Fri <br />Notice of Federal Tax Lien NE s~` °~ ~:',`'°h° R Gsl• <br />Area: Serial Number Far 1 <br />SMAL,I, BUSINESS/SFsLF EMPLOYED AREp~ #4 <br />Lien Unit Phone: {800) 913-6050 690282110 <br />As provided by section 4321, 6322, and 6323 of the Internal Revenue uu FOS~seN ~ a <br />p9s: i <br />Code, we are giving a notice that taxes (including interest and penalties) ' ~')ad: °e~am~ze,e t,:ae aro <br />have been assexsed against the following-named taxpayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there is a lien in favor of the United States on all property and rights to <br />property belonging to this taxpayer far the aynount of these taxes, and 2 Q 10 ~ s 2 i <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer KEVIN R DUFF t. <br />1817 W 8TH <br />Residence PO BOX 5721 <br />GRAND ISLAND, NE. 68802-5721 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien Is refiled by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />Tax period Date of Last Day for <br />Kind of Tax Ending Identifj-ing Number Assessment Refling <br />/-\ •r.. _ <br />1040 I12/31/2009I XXX-XX-6055 Q8/Q2/2010 09/01/2020 <br />Unpaid Balance <br />of Assessment <br />4440.63 <br />c. <br />Place of Filing <br />Register of Deeds <br />Ha11 POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total ~$ 4440.63 <br />This notice was prepared and signed at <br />the 18th day of August <br />Signature <br />for DANIELLE L MUELLER <br />on this, <br />Title <br />REVENUE OFFICER 24-10-1720 <br />(402) 473-4675 x291,2 <br />(NV~ E: Certificate of officer authorized by law to tske acknowledgment is not essential to the validity of Notirp of Federal Tax Ilen <br />Rav. Rul. 71-466, 1971 - 2 C.B. 409) <br />Part 1 -Kept By' rtecording Office Form 668(Y)(t) (Rev. 2-2004) <br />CAT. NO 60025X 1 Y I <br />zoxa <br />CHICAGO, IL <br />X002/005 <br />