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12/14/2p10 TtiE 15:L0 FAX 4Q2 471 4429 UCC S$CRSTARY OF STATE ��y Hall <br />� <br />�� <br />Form 668 (Y)(c) <br />IFiev. February 20p4) <br />FOr n� ^«"'_• •. • _ pGC FYL <br />•� H� }es of S#sir Jehn p 0�1• <br />�sie6asaas- <br />P9s: 1 <br />FRNFAN CARMEN BONAN4 <br />Gilad: 12/1412010 01:56 PM <br />Area: Serial Numb.er <br />WAGE & INVESTI+�Ti7' AREA #2 <br />Lisn Unit Phone: (80a) 829°7850 72910631Q <br />Ax provided by settion b321, 6322, and 6323 aF the Internal Re�venae <br />Code, we are giving a notice that ta�ces (including interest and p�nalties) <br />have been assasxed against the followTmg-named taxpayer. We have made <br />a.demand for payment af this Ilability, bat it remains unpafd. Ther�fare, <br />there is a lien in favor of the llnited States on a1N propert�r and rlghts to <br />proper�y beloeging to this taxpayer 1'or the amount of these taxes, and <br />additianal penalr�es, ir�terest, and costs that may accrue. <br />Name of Taxpayer CARMEN SONANO FANFAN <br />Residence 26�.1 0 FLANNAGAN ST � <br />GRAND ISLAN]), NE.68803-132$ <br />IMPORTANT R�LF.ASE 1NFORMATION For each assessment listed below, <br />unless notice of the lien is .refiled by the date given in column (e), this notica shall, <br />on the day following such date, aperate as a certificate of release as defined <br />in !RC 6325(a). • <br />Kind of Tax <br />1p�D <br />104p <br />1040 <br />104p <br />1040 <br />1040 <br />Place of Filing <br />T� Periai <br />Ending <br />J.2/31/2002 <br />12/3�/20Q3 <br />1�/3�.�2004 <br />12/31/2005 <br />12/31/20Q6 <br />].2/31/2007 <br />L <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien 2 410 0 9 3 41 <br />Identifjring Number <br />XXX-XX-� 5491 <br />XXX-XX-5�91 <br />XXX--XX-5491 <br />XXX-XX-5491 <br />XXX-KX-5491 <br />XXX-XX-5491 <br />Dat,e of <br />Assexsment <br />07/27/2D09 <br />0�/2�/zoos <br />07/27/2009 <br />07/27/2009 <br />07/27/2009 <br />03/�1/201Q <br />Register of Deeds <br />Hall. FOBOX 1692 <br />Grand Zsland, NE 68802-1692 <br />llnpald Balance <br />of Assessment <br />2656.Q2 <br />2545.5p <br />2753.90 <br />2469.07 <br />1518.06 <br />6677.23 <br />Tqtal � $ 18619 . 78 <br />This notice was prepared and signed at <br />the ��� day of D ecember <br />CHICAGQ, IL <br />2D10 <br />, on this, <br />Signature �c` ACS 1�4-Oq�Q000 <br />for PAMELA J R4GERS (8�0) 829�7650 <br />(NOTE: Certificate of officer authorized by (aw to ta�Ce acknawledgment is nnt essentisl to the validity of Notico of pederal Tax tien <br />Rev. Rui. 71-466, 1979 - 2 C.B. 409) �orm 6b8(n(c) (Rev 2-aooa► <br />ParE 1- Kept �► Recordiqg Qf�ice CA7. Np 60025X <br />f�004/pp4 <br />Last Day far <br />Refiling <br />(e) <br />08/26/2Q19 <br />0$/26/2019 <br />�8/26/2019 <br />p8/26/201.9 <br />OS/26/2019 <br />03/31/2020 <br />� � <br />