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lp/12/2010 TUE 13:43 FAx 402 471 4429 UCC SECRETARY OF STAT� ��� Hall <br />� <br />Form 668 (Y)(c) <br />lRev_ February 20041 <br />�OQ2/OQ3 <br />11.� - - <br />Department of the Treasury - Internal Revenue Service <br />Nati�e of Federal Tax Lien <br />Area: Seriel Number <br />FTAG� & INVESTMENT AItEA #� <br />lisn Unit Phone: (8b0) 829-7650 � 7D5230510 <br />As provided 1�► sectlon 632 t, 6322, and 6323 of the Internat Revenue <br />Code, we are giving a Ntotite that Wxes (including interest and penalties) <br />have been asscssed a�ainsc the follawing-rwmed ta�ayer. We have made <br />a demand For payment af this liability, but it remains unpaid. Therefare, <br />there is a lien in favor of the llnited States on all property aed rightz ta <br />property bel�nging to this taxpayQr for the amount of these taxes, and <br />additional penaities, interest, and easts that e�ay aurve. <br />ame of Taxpaqer ANT�Nx� <br />Residence p0 $QR 2381 <br />GRAND TSLAND, NE 68802�-2381 <br />IMPORTANT REI.FASE IN�ORMA77QN Far each assessment list�d belaw, <br />unless notice of the lien is retiled by the date given in calumn (e), thls notice shall, <br />on the day fotlowing such date, aperate as a certificate of release as defined <br />in IRC 6326(a)>' <br />Wr Opdonal Use by ReCarding Office <br />NR Sec oi S�alr ,lahn R 6�Is - llC[ FTL <br />g910640005—Z Pys: 1 <br />R1LpFtCON ANTONIO <br />F�iBd: �ert2�2mie io:se ari <br />Tax Periad Date of Last Day for <br />Kind of Tax Ending Identitytng Numf�r /lssessment Refiling <br />io�o �a/�x/2oo� XXX-XX-7746 05/D5/20U$ a�/o4/2o�.s <br />1040 12/31/2006 XXX-XX-7746 0$/31/2009 Q9/3D/2019 <br />1040 12/31/2007 XXX-XX-7746 05/24/2010 06/23/2Q20 <br />Place of Filing <br />2oioo7492 <br />llnpaid Balance <br />of Asses:ment <br />�.0109 . $1 <br />12567.34 <br />1.].6 $2 .17 <br />Register of Deeds <br />Hall POBQX 1692 <br />Grand Island, NE 688 <br />Total �$ 34359.32 <br />This notice was prepared and signed at CHICAG�, IL <br />� 29th d � Y pf September 201� <br />. <br />, on this, <br />Signature � � y <br />fOx' P.AMELA J ROGERS <br />ACS <br />( soo) szs-�s�o <br />14-pd-OOOQ <br />(N�TE: Certificate of officer authorized hy law to take acknowledgment is not essential to the validity of Nptice af Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) <br />Part 1- Kept By Itecording �ff'ice Form b68(n(c) IRsv. 2-2pp41 <br />CA1", NO 60Q25X <br />