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04/20/2011 W8D 15:25 FAX 402 471 4429 UCC SECRETARY OF STATE -+-+-+ 8a11 <br />� �* <br />Form 668 (1�(c) <br />(Rev, february 20041 <br />35 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 . 773353411 <br />As provided by section 632t,� 6322, and'b323 of the Internat Revenue <br />Code, we are giving a notice that ta�ces• (mcluding interest and penalties) <br />have been assessed against the following-named taxpayer. We have made <br />a demand fur payment of this liability, but it remains unpaid. Therefore, <br />there is a lien in favor of the lJnited States on all propeny and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs tl�at may accrue. <br />Residence 4145 MANCHPSTER RD <br />GR.AND ISLAND, NE 68803 <br />Fo� Oational Use by Reco�ding Office <br />Q <br />201103043 <br />� . � <br />1MPORTANT RELEASE INFORMA770N For each assessment listed below, � <br />unless notice of the tien is refiled by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as detined <br />in iRC 6325(a). . <br />Tax Per�od � Date of I.ast D_ay for <br />Kind of Taic Ending [dentifying Number Assessment Refil'mg <br />6672 <br />6672 <br />6672 <br />6672 <br />06/30/2009 XXX-XX-7020 12/27/2010 <br />09/30/2009 XXX-XX-7020 12/27/2010 <br />12/31/2009 XXX-XX-7020 12/27/2010 <br />03/31/2010 xxx-�--�020 12/��/ZOio <br />O1/26/2021 <br />O1/26/2p2I <br />Ol/26/2021 <br />O1/26/2021. <br />, <br />Place� of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 <br />linpaid Balance <br />of Assessment <br />Total � $ <br />3570.24 <br />4220.26 <br />2746.98 <br />2178.70 <br />12716.18 <br />This' notice was prepered and signed at <br />the 06th day of April <br />CHICAGO, IL' <br />2011 <br />, on this, <br />Signature d,r/� [� gE�E OFFICBR 24 -10 -172 0 <br />for DANIELI,E L MUE (402) 473-4675 x2912 <br />(NOTE: Cenificete of o�cer authorized by law to take acknowledgmant is not ee�ssential to the validiry of Nottce of Federal Tax lien <br />Rev. Rul. 7i-466, 1971 - 2 C.B. 409) Form 668(1�(c) (Rev. 2-200 <br />Part i- Kept By �ecording Of�ce CAT. NO fi0025X <br />�005/008 <br />