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06/29/2011 WED 15:21 FAX 402 471 4429 �CC SECRETARY OF STATE a-�� 8a11 <br />' �� <br />, <br />�ooz/oo3 <br />Department of the Treasury - interna! Revenue Service <br />�� 668 m�`� 2 0110 4 8 5 9 <br />IRev. Febn�ary 2004) Notice of Federal Tax Lien <br />Area: ' Serial Number <br />SMALL BII3INES3fSELF ffi�1PLOY8D AREA #4 <br />Lien Unit Phone: (800) 829-3903 � 793986711 <br />As provided by s�tion 63Zf, 6322, and 6323 of the lnternal Revenue <br />Cade, we are giving a notice that taxes (includ6�g interest and penalties) <br />have 6een auessed against the following�named taxpayer. We have made <br />a demand for payment of this liabr'U'ty, but it remains anpaid. Therefore, <br />there is a Iien in favor of the itnited States on all property and rights to <br />property belonging to this taxpayer for the amount of these ta��es, and <br />addit�onat penattles, interest, and cost4 that may aarue. <br />Name of Taxpayer SHARON A NORSEFN � <br />Residence p0 BOX 768 <br />WOOD RZVER, NE 68883-0768 <br />For - <br />� <br />IMPORTANT RELEASE MFORMATION For each assessment listed below, <br />unless notice of the lien is refiled by the date given tn cofumn (e), thls notice shall, <br />on the day fotlowing such date, operate as. a certificete of telease as defined <br />in IRC 6325(e). . <br />Tax Period � Date of Las� D�ay for <br />Kind of Tax End�img ideetifj►ing Namber Assessmeat Re�iUng <br />1040 12/31/2001 <br />1040 12/31/2002 <br />1040 12/31/2004 <br />1040 12/31/2005 <br />1040 12/31/2006 <br />%RX-XX-3850 <br />XXX-XX-3850 <br />XXX-XX-3850 <br />XXX-XX-3850 <br />XXX-XX-3850 <br />0 <br />Place of Filing <br />09/11/2006 10/11/2016 <br />09/11/2006 10/11/2016 <br />03/24/2008 04/23/2018 <br />04/19/2010 05/19/2020 <br />0�/19/2010 05/19/2020 <br />llnpaid Balance <br />of Auessmeet <br />9191.74 <br />11814.08 <br />11547.56 <br />13137.46 <br />12198.53 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 58802-1692 <br />� <br />Tota1 $ 57889.37 ' <br />6 <br />This notice was prepared and signed at � IL <br />the � 6th� day of June 2011 <br />, on this, <br />Signature �,�. Title <br />ACS SBSE 24-00-0008 <br />for MICHAEL W. COX (800) 829-3903 <br />�(NOT� Cerdficate of officer authorized by law to take acknowledgmerrt is not essential to the validity of Notice of Fedaral Tax lien � <br />Rev. Rul. 71-4.66, 1971 - 2 C.B. 409f � Form 668(n(c) (Rev. 2-2004)� <br />Part t- K�t Bar RecOr�png Offlce 6AT: NO BeO�Bx <br />