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O1/25/2011 TU8 14:38 FAX 402 471 4429 UCC SSCRSTARY OF STATE �� Hall �1 � " Forro 668 (Y)(c) (Rev. February 2004) For Department of the Treasury - Internal Revenue Service � 0110 0 6 4�.� Notice of Federat Tax Lien Area: � Serial Number WAGE & INVESTMENT AREA #2 Lien Unit Phone: (800) 829-7650 743800111 As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are glving a aotice that taxes (including interest and penalties) have been assessed agaiast the following named taxpayer. We have made a demand for payment of this liability, but h.remains unpaid. Therefore, there is a lien in favor of the linited States on a11 property and rights to property belonging to this taxpayer for the amount of these taxes, and additional penalties, inter�st, and wsts that may accrue. Name of Taxpayer LINDA J SLOSS Residence 910 N BOGGS AVE AFT 1102 GRAND ISLAND, NE.68803-4430 1MPORTANT RELEASE INFORMATIOAI: For each assessment tisted below, unless notice of the lie� is refiled by the date given in column (e), this notice shall, on the day following such date, operate as a cartificate of refease as defined in IRC 6325(a). • Tax Period Date of .l.ast Day for Kind of Tax Ending Identifying Number Assessment Refiting (a) (b) (� (d) (e) 1040 12/31/2007 XXX-XX-999.6 O1/04/2010 02/03/2020 1040 12/31/2008 XXX-XX-9996 07/26/2010 08/25/2020 Place of Fifing �a Register of Deeds � Hall POBOX 1692 Gran Island, NE 6 8 80 2- 1 692 �002/003 Office llnpaid Balance of Assessment 11485.85 108091.92 Total � $ 119577 . 77 This notice was prepared and signed at � CHICAGO, IL , on this, the 18 th day o� Jan uary 2 O 11 Signature for PAMELA J RO Title ACS (800} 829-7650 14-00-0000 �nv� t: �eruticate ot ofticer authorized by law to take ecknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(n(c� (Rev. 2-2�Q41 . Part 1- Kept By Recording Office CAT. NO 60026X