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12/20/2Q10 MON 15:04 FAX 402 471 4429 UCC S$CRETARY OF STATE ��� Ha�l <br />�� . <br />� Form b68 (Y)(c) <br />(Rev. February 2004) <br />For Optional Use by Recardinp Office <br />Department of the 7reasury - Intemal Revenue 5�rvice <br />�Notite of Federal Tax I.ien 2 014 4 9 5 4 4 <br />Area: Serial Number <br />SMALL SI7SINESS/SET,F ENIpLQy$D �p, #q <br />Lien Unit phone: (800) 913-6050 731176$10 <br />As provtded by settion b3�1, b322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the following-named taxpayer. We have made <br />a demand far payment of this liability, but it remains unpaid. Therefore, <br />there is a lien in favar of the Llnited States on all property and rights to <br />property belnnging ta this taxpayer far the amount of these ta�ces, and <br />additional penalties, interest, and costs that may accrue. <br />a���d v� ��xNayer <br />Residence 34�,2 E COTTONWOOD RD <br />KEARNBY, NE 58845-0608 <br />IMPORTANT �I,EASE INFORMATION For each assessment listed below, <br />unfess notice af the lien is refilad by the dats given in column (e), thls notice shall, <br />on the day following such date, operate as a certificate of release "as dafined <br />in IRC 6325(a). <br />Kincl of Tax <br />6672 <br />6fi72 <br />6672 <br />6672 <br />Place af Filing <br />ti�r.! <br />Identifjring Number <br />(� <br />XXX-XX--3416' <br />XXX-XX-3416 <br />XXX-XX-3416 <br />XXX-XX-3416 <br />Date of <br />Assessment <br />(�) <br />10/25/2010 <br />1U/25/201Q <br />10/2S/20].0 <br />10/25/2010 <br />Register af D�eds <br />Ha11 POB�X 1692 <br />Gzand Island, NE 68802-1692 <br />llnpaid Balance <br />af Assessment <br />67I9.72 <br />2�}{73 .87 <br />9$20.65 <br />17893.81 <br />7otal �$ 5910$.05 <br />This notice, was prepared and signed at <br />the 1A day of D �cember <br />CHICAGO, IL <br />2010 <br />Signature <br />for M�CHAEL W PONTE <br />, on this, <br />Title <br />REVENUE OFFICER <br />(308) 384-4850 <br />2�4�-10-1737 <br />Tax Perlod <br />Ending <br />12/31/2007 <br />12/31/2p08 <br />03/37./2009 <br />06/30/2009 <br />NE Soa ei S\��■ JeNp p Oela - UCC FTL <br />9910645927-i Pgs, t <br />UE LOS ANGELES REYNfiI.pO <br />Filed: 12/20l2010 09:14 AM <br />I�005/006 <br />1.ast Day for <br />Refiling <br />�e)._,�_ <br />11/24/202U <br />�.1/24/202� <br />17./24/2�20 <br />11/24/2Q20 <br />�nv� �; �ertiT�cate or orricer autnorized t�y law to take acknowledgment is not essential to the validity of Nopce of Federal Tax lien <br />Rev. Rul. 71-46fi, 1971 - 2 C.B. 409) <br />Part t- Kept By R�ecording pffi�� Form 66a(Y)(t) IRev. 2-2�041 <br />CAT. NO 6UO25X <br />