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03/23/2011 WED 15:37 FAX 402 471 4429 UCC SECRSTARY OF STATS <br />� <br />� Form 668 (Y)(c) <br />(Rev. February 2004} <br />f�oo2/oa5 <br />Department af the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />� NE Sec af S�its » p 6a1e <br />- U[C FR ' <br />9911 654742•2 <br />DREHER MICHqE� � pea: f <br />Filed: 0 3123/201i i0:f7 pJq <br />� <br />2 0110231g <br />Area: Serial Number <br />__,.. . <br />SMI�iUL _AI2BA _#4 _ ---�----___ .............__..._---..._.._._.__.---...._....---...._._._ . -- <br />Lien Unit Phone: (800) 829-3903 764847811 <br />As provided 6y sec�ion b32f, 6322, and b323 of the Interna[ Revenue <br />Code, we are giving a notice that taxes (�scluding interest and penalties) <br />have been assesseA agahut the folbwing-named taxpayer. We have made <br />a demand for payment of this tiability, but it remains unpa�d. Thwefoce, <br />there is a lien in favor of the linited States on all property and rights to <br />property belonging W this taxpayer for rhe amount of these taxes, and <br />additional perialties, interest, and wsts that may accrue. <br />Name of Taxpaver MICHP,EL J& SHARON K DREHER <br />Residence 3111 COLLEGE ST AFT 106 <br />GRAND ISLAND, NE 68803-1727 <br />IMP�RTANT R�LEASE INFORMATION For each assessment lis3ed below, <br />uMess notice of the lien is refiled by the date given in column {e), this notice shali, <br />on the day foflowing such date, operate as. a certificate of release as defined <br />in IRC 5325(a). � <br />Tax Period Date of Last D�ay fur <br />Kind of Tax Endtng l.dendfying Number Assessment Reftling <br />1040 12/31/2002 XXX-XX-1474 05/31/2004 06f30f2014 <br />1040 12/31/2003 XXX-XX-1474 O1/10/2005 02/09/2015 <br />1040 I2/31/20Q4 XXX-XX-1474 07/03/2006 08/02/2016 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-I692 <br />Unpaid Batance <br />of Assessment <br />3714.88 <br />3798.80 <br />1989.21 <br />7otal �$ 9502.89 <br />This notice was prepared and signed at CHICAGO, IL <br />ttie �� day of March 2011 <br />, <br />, on this, <br />Signature Title <br />�� ACS SBSE 24-00-0008 <br />far MTCHAEL W. COX t800) 829--3903 <br />i(NOTE: Certificate of offlr.er authorized by Isw to take acknowledgment is not essentiat to the va(idity of Notice of Federal Tax {ie� <br />Rev. Rul. 77-466, 5971 - 2 C.B. 409f Form 668(1�(c) IRev. 2-2004 � <br />. Part f- Kept By Recording Office � CAT. NO 60025X � <br />