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O1/25/2011 TUE 14:38 FAX 402 471 4429 UCC SSCRSTARY OF STATS ~~~ Hall <br />Form 6b8 (ln(c) <br />(Rev. February 2004) <br />12/31/2005 <br />12/31/20Q6 <br />Za/3a./aoo� <br />03/31/2005 <br />06/30/2005 <br />09/30/2005 <br />12/31/2005 <br />03/31/2006 <br />06/30/2006 <br />09/3Q/200fi <br />12/31/2006 <br />03/31/2007 <br />06/30/2007 <br />09/30j2007 <br />12/31/2007 <br />Area: � Seria{ Number � <br />SMAL,L BIISINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone:•(8�0) 829-3903 . 743813911 <br />As provided by section 6321, 6322, 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 for payment af this liability, but it remains unpaid. Therefore, <br />there is a lien in favar of the United States on ali property and ri�ts to <br />property belonging to this taxpayer for_ the amount of these taxes, and <br />additional penalties, Interest, and costs that may accrue. <br />ame <br />Residence <br />480 <br />316 E 2ND ST <br />GR.AND ISLAND, NE 68801-7712 <br />�003/003 <br />� <br />Department of the Treasu�y - Internal Revenue Service 2 011 Q 0 6 4 5 <br />Notice of Federal Tax Lien . <br />[MPORTANT RELEASE INFORMATlON: For each assessment tisted below,� <br />unlass notice of the lien is refiled by the date given in column (e), this notice shall, <br />on the day fo{lowing such date, operate as a ce�tificate of release as defined' <br />in IRC 6325(a). <br />Tax Period � Date of Last Day for <br />iC�nd of T� €nding Identifying Number Asseument Refiling <br />940 <br />940 <br />940 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />Place of Filing <br />67-0712920 <br />87-0'712920 <br />87-071292Q <br />87-0712920 <br />87-0'712920 <br />87-0712920 <br />87-0712920 <br />87-0712920 <br />87-0712920 <br />87-0712920 <br />87-0712920 <br />87-0712920 <br />87-0712920 <br />87-0712920 <br />87-Q712920 <br />ol/li/aolo <br />41/11/2010 <br />01/11/2010 <br />O1/11/2010 <br />O1/I1/2010 <br />Ol/11/2010 <br />01/11/2010 <br />O1/11/2010 <br />O1/11j2010 <br />O1/Il/2010 <br />O1/11/2010 <br />01J11/ZO10 <br />01/11/2010 <br />oi/is/aoio <br />O1/11/2010 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />use <br />linpaid Balance <br />of Assessment <br />Total � $ <br />329.31 <br />299.43 <br />302.44 <br />2114.06 <br />2087.90 <br />2060.66 <br />2020.55 <br />907.69 <br />886:69 <br />864..69 <br />843.03 <br />1180.05 <br />1149.76 <br />1119.$5 <br />1091.14 <br />17257.27 <br />This notice was prepared and signed at CHTCAGO, IL , on this, <br />the 18th day of �January 2011 <br />Signature � Title <br />ACS 24-00-0048 <br />for MTCHAEL W. COX (800) 829-3903 <br />� (N07'E: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Nutice af Federal 7ax 4tes► � <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(t) (Rev. 2-2004> <br />Part t- Kept By Recording Office � • CAT. NO 60025X <br />o2/ioi2o2a <br />02/10/2020 <br />02/10/2020 <br />02/1.0/2Q2D <br />02/10/2020 <br />02/].0/2020 <br />02/10/2020 <br />02j10/2020 <br />02/10/2020 <br />02f10/2020 <br />02j10/2020 <br />02/10/2020 <br />02/10/2020 <br />02/10/2020 <br />02/10/2020 <br />