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Q4/28/2011 T8U 14:18 FAx 402 471 4429 UCC SECRETARY OF STATE �-�-� Hall <br />Farm 668 (Y)(c) <br />(Rev, Fe6ruary 2004! <br />I�003/004 <br />Department of the Treasury - Internal Revenue Service � p�� p 3 2 7 7 <br />Notice of Federal Tax f.ien <br />Area: ' Serial N.umber ' <br />3MALL BIISINESS/SSLF EMPLOYBD AREA #4 <br />Lien Unit PhOne: (SOa) 829-3903 777115611 <br />As provided by section 6321, 6322, and ,6323 of the Internal Revenae <br />Code, we � are giving a notice that ta�cces (inc[uding interest and penaltles) <br />have been assessed ag�nst the following-named taxpayer. We have made <br />a demand for paymen� of tfns I�ab�ility, but it remains anpaid. ?6ereFore, <br />there � a lien ie favor af the Onit� States on afl property and r�ghts to <br />properl.y belanging to this taxpayer for t�te amaunt of thase t��, and <br />additionat penaldes, interest, and costs that may aarue. _ <br />Residence 518 W 8TH ST <br />� GRAND ISLAND, NE 68801-4228 <br />For <br />IMPORTANT RELEASE INFORMATION For each assessme� listeii below, <br />unless notice of the 11en is refilsd by the date given in column Ie), this notice shall, <br />, on the "day •following such date, operete as a certificate of release as defined <br />' in IRC 6325(a1. � � <br />- Tau Period Date of Las�t D_ay for <br />Kind of Tax Ending Identifying Number Assessment Refiling <br />1040 12/31/2000 <br />1040 12/3�1/2004 <br />1040 12j31/2005 <br />1040 12/31/2006 <br />Place of Filing <br />7�.XX-XX-4708 <br />XXX-XX-4708 <br />XXX-XX-4708 <br />XXX-XX-4708 <br />09/17/2007 10/17/2017 <br />o9/i�/aoo� �afi�/ao�� <br />OS/02/2010 09/01/2020 <br />08/02/2Q10 09/Q1/2020 <br />llnpaid Balattce <br />of Ass�ssment <br />59005.63 <br />56759.45 <br />80222.93 <br />61225.05 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />OffiC@ <br />Total �$ 257213.06 <br />This notice was prepared and signed at <br />the 15th day of April <br />CFiICAGO, II, <br />2011 <br />, on this, <br />Signature n` „�� Title .24-00-OOOF <br />.� ACS SBSE <br />for MICHAEL W. COX (800� 829-3903 <br />(NOTE: Certificats of officer• authorized by law to taka acknowledgment is not essenUal to the validity of Norice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B 409) ' Form 668(�(c) IRev 2-20045 <br />Part 1- K�t By ttewr�ng Of1Ece CA7. NO 60025X <br />