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12/16/2Qlq TH� 14:21 FAX 4Q2 471 4429 UCC SECRETI�2Y OF STATE ��w Ha11 <br />V� <br />�arm l�68 ('n(c) <br />�RaY. Fab�,arv zooa► <br />For Optipnal Use hy Recording.0ffice <br />NF ;�c of Slake dohn q Be1e _ yC� pTG <br />99106456�1-3 P�s: 1 <br />BECKSTRpp JA50N A <br />Filed: 12/16/2010 08:4� pM <br />A�ea� Seriai Number <br />SMi4I+Tr HUSTNFsBB/SELF �MPI;OYED ARSpI #4 <br />Lien Unit Phone: (SOO) 829 � 728123710 <br />As provided by sectton 6�21, 6322, and b323 af the Internal R�venue <br />Code, we are glving a nodce� that ta�ces (including interest and penalties) <br />have been assessed against the foqowing�-named taxpayer. We hav� made <br />a dema� for payment of th�s �I�ability, but h rema� unpaid. ?herefore, <br />there is a Ifen in favor of the united Stata on all property ar�d rights to <br />P�'�rtY belonging to this taxpayer for tha amount o� the:e taxes, and <br />addltional penalties, interest, and casts tfwt nwy accrue. <br />Name of Taxnaver JA�nN A Rrxrrrc�r+r�nn� <br />Residence 2120 WILLTAM ST <br />� GRAND YSLAND, NE 68801-7427 <br />NMPORTANT RELEASE I1►(FORMATION: �or each assessment lis#ed belaw, <br />unless notice of the lien is refiled by the date given in column (e), this nodce shall, <br />on the day following such, date, operate as a certificate of release as defined <br />in IRG 8325(a). ' � <br />T� p��� Date of I.ast Day for <br />IGind of Tax Ending Identifying Numb�r Assesament R�flling <br />(a) b) c � . d) (e) <br />sa�o 12/31/200'7 xxx-������ �1/os/ao�.o a.z/os/ao2o <br />104Q 1.2/3�./2009 XXX-XX-6533 06/14/201[1 Q7/14/202p <br />Place of Filing <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax laen 2 014 0 9 3 91 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Tsland, NS 68 8Q2-1692 <br />�002/005 <br />llnpaid Balaece <br />of Assessment <br />7.6121. 31 <br />765.50 <br />Total I $ 16886 . 81 <br />This notice was prepared and signed at CHICAG4, xL <br />the 03rd d�y of December 2010 <br />5ignature <br />for MTCHAEL W. C OX <br />, on this, <br />7'itle <br />ACS <br />(BOa� 829-3903 <br />2�-00--OOQ$ <br />(nv� �: c;ertiticate of officer authorizad by law to take acknowledgment is nat essentfal to the_validity of Nodce of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.�. �4A9) Form 4b$(n(c) (Rev. 2-2004) <br />Part 1- Kept By Itecording �ttice CAT. Np 60026X <br />