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03/18/2011 FRI 15:24 FAX 4p2 471 4429 UCC SSCRETARY OF STATS ~~~ Hall �002/002 <br />� <br />� <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federat Tax Lien 2 0�- � 0 2� 8"1 <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />SMALL BUSINESS/SSLF FsMPLOYBD AREA #4 I� ' <br />Lien Unit Phone: (800) 913-6050 763820711 <br />As provtded by section 6321, 6322, and 6323 of the lnternal R�evvenae <br />�ode, we are giving a rrotice that taxes (including interest and penatties) <br />have been assessed against the followin�nnamed taxpayer. We have made <br />a demand for payment of this tiability, 6ut it remains unpaid. Therefore, <br />there is a lien in favor of the llnited States on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additiona[ penatties, interest, and costs tlwt may aarue. <br />Name of Taxpayer <br />Residence 417 LINDEN AVE <br />GRAND ISLAND, NE 68801-8608 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date �iven 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(al. <br />Tax Period Date of - Last. Day for <br />Kind of Tax Ending Identilying Number Auessment Refiling <br />1040 12j31f2005 XXX-XX-3314 03/08f2010 04/07/2020 <br />1040 12/31/2006 XXX-XX-3314 Q3_/08/2010 04/07/2020 <br />1040 12/31/2007 XXX-XX-3314 08/16/2020 09/15/2020 <br />Place of Filing <br />llnpaid Balance <br />of Assessment <br />4871..64 <br />2662.55 <br />4769.30 <br />Regi.ster of . Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total I$ 12303.49 <br />This notice was prepared and signed at <br />the 08th day of March <br />CHICAGO, IL <br />2011 <br />, on this, <br />Signature ,� RtIE��E OFFICER 24-10-1720 <br />for DANIELLE L MUELL (4Q2) 473-4675 x2912 <br />(NOTE: CeRificate of officer authorized by law to take acknowledgment is noi essential to the validity of Notice of Federel Tax lien <br />Aev. Rul. 71-466, 1971 - 2 C.B. 409) _ �orm 668(n(c) IRev. 2-2004 <br />Patt 1- Kept Bp RaordinB 4fflce CAT. NO 6002bX <br />