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09/07/2010 TUB 13:06 FAX 402 471 4429 L1CC SECRETARY OF STATE a~~ Hall <br />2oloos4os <br />t~ 3592 <br />O Form 648 (Y)(c) <br />!Rev. February 2004) <br />Area: <br />WAGE & INVESTMENT AREA #2 <br />L' U ' P <br />17epartment of the Treasury -Internal Revenue Service <br />Notice of Federal Tax Lien <br />Serial Number For Options <br />ten nit hone. (800) 829-7650 692973710 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (includitng 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 for the amount of these taxes, and <br />....... -.....additional penalties, .interest, and costs that -may -acerue~ - <br />Name of Taxpayer KRISTINE P STREETER <br />Residence 727 E CAPITAL AVE <br />GRAND ISLAND, NE 6880].-3095 <br />IMPORTANT REI~AS~ INFORMATION: For each assessment listed below, <br />unless notice of the lien is refilad by the date given in column (e), this notice shall, <br />on the day follawin~ such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />Use by Recording Office <br />NE Sre of Sts{n Jahn R G.ta - IICC Fi4 <br />$S EEB~R Kt2IS9iNE..P. P9s:.. 1.. <br />Filed: 09/07!2010 09:51 At7 <br />pjoo2/ooa <br />Tax Period Date of last D for <br />Kind of Tax irnding Identifying Number Assessment Refl~ng <br />l04o 112/31/2ao51 xxx-xX--494-- 03/09/2009 o4/os/2o19 <br />1040 12/31/2006 XXX-XX-4942 03/09/2009 04/08/2019 <br />,, <br />Piece of Filing <br />Reg~.ster of Deeds <br />Hall POSOX 1692 <br />Grand Island, NE 68802-1692 <br />15275.9,9 <br />12693.74 <br />Total ~$ 27969.73 <br />This notice was prepared and signed at <br />the 26th day of August <br />CHICAGO, IL <br />2010. <br />on this, <br />Signature ~ A ,f~Q ACS 14-00-0000 <br />for SUSAN MEREDITH (800} 829-7650 <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. Rut. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) !Rev. 2-200 <br />Part 1 -Kept sy Recording Office CAT. NO 6002sx <br />Unpaid Balance <br />of Assessment <br />