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12/20/2010 MON 15:03 FAX 402 471 442g UCC SBCRETARx OF STATE �yy Hall <br />Far Qptfonsl Use by Recordlns� Office <br />Farm 668 (Y)(c) <br />(Rev. February 2004) <br />��.�ra <br />Department of the Treasury - Internal Revenue Servica . <br />Notite o� Federal Tax l.ien 2 O 10 4 9 5 41 <br />'`"Ctl; Seria) Number <br />SMAI,L $USIN�SSI��LF $N1PI,OYED AREA #4 <br />Lien Unit Phone: (800) 913-6p50 72983301p <br />A� Provided Iry section 6321, �32Z, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (includtng interest and penalties) <br />have been asses�sed agajn:t the following-named taxpay�r. We have made <br />a demand for payment of this liability, but it remaTns unpaid. Therefore, <br />there is a U�n in favor of the united States on all property and rights to <br />prop�erty belonging to this taxpayer for the amount of these taxes, and <br />additional penalttes, interest, and casts that may accrue. <br />Name of Taxpayer BENTTO CARDFNAS & NORMA P �LGUTN <br />Residence �� 14 SAINT PAi]L RD TRLR 1.7 <br />GRAND ISI„AND, NE �8801-2400 <br />NE SaF ot Slska Jehn R 8els - YCC FTI, <br />9910645924- PgsO 1 <br />cartoENas sENZro <br />Filed: 12/20/2010 09:1Q pM <br />I�002/006 <br />IMP�RTANT R�1,EAS� INFpRMAT10N For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (e►, this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325�a). <br />Ta�t Periad Date af �,ast Day for <br />Kind Ta�r En bin� Identifyi cg Number Assessment Refiling <br />> > (d) (e) <br />a.o�a 12/��.�aooi XXX-XX--p473 o�/z3/aoo� a7/a3/�oi� <br />�.o�v ia/s�/aooa xxx-xx-n4�3 o�/z3/zoo� o7/z�/ZO�� <br />F'lace of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand �slan NE 58802-1692 <br />llnpa�d Balance <br />of A�sessmertt <br />2088.82 <br />1814.31 <br />Total �$ 3903.13 <br />This notice was prepared and signed at <br />the _ _ 08th �� o � D�cember <br />Signature <br />�or KAY PONTE <br />F�i rl�i7 <br />CHICAGO, IL <br />, on this, <br />Title <br />REVENUE OFFICER <br />(3D8) 384-4850 <br />2�4-10-1739 <br />(NOT�: Certificate ot of(icer authorized by law to take scknowledgment is not essential to the validiry of Notice of Fede�al Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 4p9) Form 668(n([) {Rev. 2-2U04) <br />Part 1- Kept By RecorAing OFflce CAT. NO 60025X <br />