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Q1/19/2011 9Q8� 15:10 <br />� <br />Form d68 (Y)(c) <br />(Rav. Fabruary 20041 <br />FAX 4Q2 &71 4429 UCC SECR$T�ttY OF STATE ��� Ha11 <br />f�oo��oo� <br />Department of the �'reasury - internal Revenue 5ervice <br />Notite of Federall"ax Lien 2 � 1� U U 4 I 3 <br />Area: Serial Number <br />SMAZ,L BIISTNESS/SFI,F BMPLOYED AREA #4 <br />Lien Unit Phone ($DD) 913�6050 741736311 <br />As provided by sectbn 6�2 t, l�322, and d323 ofr the Int�rnal Revenue <br />Code, we are givjng a notice that taxQS (including interest and penalties) <br />have been a:seu$d agairnat the followln,g-named taxpayer. We have made , <br />a de�nand for payment of this liabifity, but it remaint unpaid. Therefare, <br />there �S a lien in tavor of the united States on all property and righa to <br />praperty belanging to this taxpayer far the amount of these taxes, and <br />additianal penalties, interest, and casts that may acc�ve. <br />Name af Taxpayer NORMA C MORENO <br />SAENZ DRYWALL <br />Residence 107 CENTENNIAL DR <br />� GRAND ISLANi), NE 68801-�3Q7 <br />�or Optional Uss by Racording bffice <br />IMPORTANT �iELEASE INFORMATION FOr each 8ssessment listed below, <br />unless notice of the lien is refiled by ihe dats given in column (B), this notice sh811, <br />on the day following such date, operate as a certificate . of release as de.fined <br />in IRC 6325(a). <br />Tax Perlod Date of Last Day for <br />Kind of Tax �nding ldentiCying Number Assessment Ref�Iing , <br />(a �) � �) (� e <br />�4i a9/�o/�ao� 6s-o�soos� 12/06/2010 oi/.o�Iaozx <br />Place of Filing <br />Register of Deeds <br />Hall P�BOX 1692 <br />Grand Island, NE 68802-1692 <br />7580.67 <br />7atal IS 7580.67 <br />This notice was prepared and signed at <br />the �'� day of January <br />CHICAGO, IL <br />2011 <br />t aa:s� cna <br />tinpaid Ba�ance <br />of Assessment <br />, on this, <br />Signature Title <br />A� � RE'VENU� OFFICFR 24-10-1720 <br />for DAN�ELLE L MUELL (402) �l73�-4575 x2912 <br />(NOTE: Certiflcate ot otticer autharized by law to take mcknowledgmen,t is not essantial to the validity af Notice of Federal Tax lien <br />' Rev. RuL 71-466, 1971 - 2 C.B. 409) Form bb$(Y)(t) (Rav. 2-20UA1 <br />Part 1- Kept �► Recordip� OHiee CAT. NO 60025X <br />