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09/17/201D 8RI 14:57 FAX 402 471 4429 UCC SECRETARY OF STAT>; ~~~ Hdll <br /> <br />Farm bb8 (Y)(c) <br />(Rev. February 20041 <br />359 <br />Department of the Treasury -Internal Revenue Service <br />Notice of Federal Tax Lien 2 010 0 6 7 5 8 <br />'`!'G°• Serial Number <br />SMALX, BUSINESS/SELF EMPLpYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 696797410 <br />As provided by section b321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penialties) <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 [Jnited Swtes on ail property and rights to <br />property belonaaing to this taxpayer far the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer BETHANY ROZENDAL <br />BRIGHT BEGINNINGS <br />N6 Sec of 5!e!e Jahn p Gale -UCC FTL <br />9810637624-9 Pqx; 1 <br />ROZENOAL BETHANY <br />Fll~d: 09/17/2010 08:41 RN <br />X004/004 <br />_. <br />Residence 115 W CHARLES ST <br />GRAND ISLAND, NE 68801-6020 <br />IMPORTANT RELEASE INFORMATION:1=or each assessment listed below, <br />unless notice of the lien is refiled by the date given in column le), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC B325(a~. <br />Tax Period Date of Last Da for <br />Kind of Tax Ending Identifying Number Assessment ReR~ng <br />,_. ... - - <br />Unpaid Balance <br />of Assessment <br />941 03/31/2009 20-3998975 08/23/2010 09/22/2020 5646 <br />07 <br />941 06/30/2009 20-399$975 0$/16/2010 09/15/2020 , <br />6037 <br />77 <br />941 <br />941 09/30/2009 <br />12/31/2009 20-3998975 <br />20 08/16/2010 09/15/2020 . <br />6394.00 <br /> <br />944 <br />12/31/2008 -3998975 <br />20-3998975 08/23/2010 <br />08/23/2010 09/22/2020 <br />09/22/2 10057.15 <br /> 020 22834.94 <br />Place of Filing <br />Register of Deeds <br />Half. POBOX 1692 <br />Grand Island, NE 68$02-1692 <br />Total ~$ 50969.93 <br />This notice was prepared and signed at CHICAGO, TL <br />the <br />Signature <br />03rd day of September 2010 <br />for RANI <br />H. r ~c~c <br />L MUELLER <br />Title <br />REVENUE OFFICER 24-10-1720 <br />(402) 473-4675 x2912 <br />on this, <br />Far Optional Use by Recording Office <br />inv. ~: ~ernncate ar arncer autnonzea ay law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien T <br />Rev. Rul. 71.466, 1971 - 2 C.B. 409) <br />Part 1 -Kept By itecordiag Office Form 668(Y)(c) 1Rev. 2-2004) <br />CAT. NO 60025X <br />