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Q4/28/2Q11 TaU 14:18 FAX 4Q2 471 4429 UCC SECRETARY OF STATE �-�-� Hall <br />Fo,� 66e mc�) <br />�Re�. Feen,a►v �ooaf <br />03/23/2009 04/22/2019 <br />03/23/2009 04/22/2019 <br />03/23/2009 04/22/2019 <br />i2/a6�2010 Oi/05/2a2i <br />Area: Serial Number <br />SMALL BIISINESS/SELF EMPLOYED AREA #4 <br />Uen Unit Phone: (800) 829-3903 777111411 <br />As provided by s�ctiton 632f, 6322, and 6323 of the Internat Revenue <br />Code, we are giving a notice that taues (includ'mg interest and penalties) I <br />have b�n assessed agaiust the foltowing�-named ta�cpayer. We have made <br />a demaed for payment of this f�biiity, but it remains anpaid. Therefore, �' <br />there is a Uee in favor of the United Stat� on aIl property and r�g6a to <br />property l�elonging to this taxpayer for the amount of these taxes, and ' <br />a penalties, interest, and costs that may atcrue. � <br />Name of Taxpayer TIMOTHY A HANSF�T <br />Residence pQ gOX 5472 <br />� . G12AND ISLAND, NF 68802-5472 . <br />For Optional Use bv fiecording Office <br />1MPORTANT RELF.ASE INFORMATION: For each assessment nsted below, <br />unless notice of the lien is refiled by the date given in column (e),.this notice shall, <br />an the day following such date, operate as a certificate of relesse as defined <br />in IRC 6325(a). ' . � <br />� Tax Period Date of Last D�ay for <br />Kind of Tax Ending Identifying Number Ass�tsment Refiling <br />1Q40 12/31/2004 <br />1040' 12/31/2005 <br />1040 12/31/2006 <br />1040 12/31/2007 <br />0 <br />Place of Filing <br />Department of the Treasury - internai Revenue Service <br />Notice of` Federal Tax l.ien � 2 O 110 3 2'7 G <br />XXX-XX-5737 <br />XXX-XX-S737 <br />XXX-XX-5737 <br />XXX-XX-5737 <br />I�002/004 <br />u,�p�a s�n� <br />of Assessment <br />58881.31 <br />21685.68 <br />13589.54 <br />21970.85 <br />Register of Deeds <br />Hall POBOX 1692 <br />`Grand Island, NE 68802-1692 <br />Total � $ �11612 7 . 3 8 <br />This notice was prepared and signed at CHICAGO, IL <br />the 7-5th day of April 2011 <br />Signature <br />far MICHAEL W. COX <br />, on this, <br />Title <br />ACS SBSE . . � <br />(8Q0)• 829-3903 <br />24-00-0008 <br />(I�lol t: c:ertlticete ot oftic8r euthorized by law to take ac[cnowledgment is not essentiai to tha velidity �of NoUce of Fecleral Te�c Uen <br />Rev. RuL 71-466, 1971 - 2 C.e. 409) .� � Form 668(�(c) tRev. 2-2004) <br />Part 1• Kept By Rewrding Office �CAT. NO 60025X <br />