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11/23/2010 TU� 14:04 FAX 402 471 4429 UCC SSCRSTARY OF STATE �yy Hdll <br />�� <br />�orm 6l�8 (Y)(t) <br />(Rav. February 20p4) <br />rlrne: , <br />wAa� � z�v�s�rrx �, #2 <br />Department of the Treasury - Internal Revenue 5ervice <br />Notice of Federal Tax Lien <br />Serial Number Fpr Opiione <br />Lien Unit Phone (800) 829-7650 721748810 <br />As pravkled by secdon l�;� 1, Qr322, and 6323 of tbe Int�rnal Revenue <br />Code, we ue giving a nodce that taxes (including interest aund penaltie:) <br />have been assessed against the fnllowing-nan�ed taxpayer. We have made <br />a demand �or payment of xhis liability, but it remains unpaid. Theretare, <br />there is a lien in �avor of _ the linited States on all propert�r and rIghts to <br />property belonging to this raxpayer for the amount of thexe taxes, and <br />additiawl penalties, interest, and wsts that n�ay accrue. � <br />Name of Taxpayer MOHAMED NASTR <br />Residence pp BOX ].DO <br />GRAND TSLAND, NE 68802-0100 <br />IMPORTANT RELFAS� INFORMATI�N For each assessmsnt listed below, <br />unless notice of the lien is refiled by the date given in column (e►, this notice shall, <br />an iFie day tollowing such date. oper�te as a certificate of release as defined <br />in IRC 6325(a►. <br />�002/003 <br />2oioos7ss <br />Usa hv Recordinp Office <br />NB fae e7 S�wia JoFn N 6ala - UGC FTL <br />9910843836-8 Pes: 1 <br />IdASIR MOHRMED <br />Filed: 11l23/2010 01:07 PM <br />Tax periad Date of � Last Da�r for <br />Kind of Tax Ending ldentifying Num6er Assessment Ref�ling <br />�o�o. iz/��/aao� �cx-xx-�z6�. 04/15/ao�.o 05/��/zoao <br />1Q40 ia/��/zoo9 xxx-�-�a6x o�/o5/aa�.o 0$/o4/�oaa <br />Place af Filing <br />119 <br />llnpaid Balance <br />af Assessment <br />�i��:�s <br />Regis�er of Deeds <br />Ha�.l POSOX 1692 <br />Grand lsland, NE 68802-1�92 <br />Total �$ "7092.60 <br />This notice was prepa�ed and signed at <br />the � day of November <br />f�.��F�i; <br />Signature <br />fnr PAMRT�A �T 12(�f�F.R� <br />CHZCAGO, IL <br />, an this, <br />Title <br />ACS <br />(80p) 829-7650 <br />14-00-OOOp , <br />�nv�c. �erunca�e ai vmcer autnanzea oy iaw [o caKe acKnow�eagment is no[ essentiai to me vsuaity ot rvance oT reaerai iax uen <br />Rev. Rul. 71-466, 1971 - 2 C.e. 4Q8) Form bb8(Y)(c) �Rav_ Z-20041 <br />. . Part 1- K�t Bq �ecording Office • CA7.•NO 60026K <br />