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Q7/07/2011 THU 16:08 FAX 402 471 4429 UCC SBCRETARY OF STATB ��� 8a11 <br />Form 668 (Y)(c) <br />{Rev. Fabruary 2004) <br />Area: . Serial Nuinber <br />SMALL BIISINE38/STLF EMPLOY�D AREA #4 <br />Lien Unit Phone: (800) 913-6050 ' 796418011 <br />AS provided 6y sectlon 6321, 6322, and 6323 of the Internal Revenue <br />� Code, we are giving a notke that taxes (incIuding iu�terest and penalt,ies) <br />have 6een asseued a�ainst the foaowi�g named taxpayer. We. have made <br />a demand for payment of thk Iia6iQty, bat it remains unpaid. Therefore, <br />there is a�ien in favor of the United States on all prope�ty and righ� to <br />property 6elongimg to this taxpayer for the amount of these taxes, and <br />addi�ional penalties, interest, and costs that may accrue. � <br />Residence 315 E SECOND <br />GRAND ISLAND, NE 68801-7760 <br />For Optional Use by Recording Office <br />1MPORTANT RELEASE INFORMATION For each assessmerrt listed below, <br />unless notice of the lien is refiled by the dete given in column (e), this notice shail, <br />on the day following suah date, oparate ea a certificate of release as defined <br />in IRC 6325(a). <br />Ta�c Period Date of I.ast_ Day for <br />Kind;of Tax Ending Identifying Number Assessment . Refding <br />1040 12/31/2001 XXX-XX-9802. 02/25/2008 <br />1040 12/31/2002 �X-XX-9802 07/18/2005 <br />1040 12/31/2004 XXX-xX-9802 08/03/2009 <br />1040 12/31/2005 XXX-X%=9802 08/03/2009 <br />1040 12/31/2006� XXX-XX=980Z 08/03/2009 <br />�ooa�ooa <br />Department of the Treasury - Internal Revenue Service <br />. Notice of Federa( Tax l.ien <br />.�, <br />03/27/2018. <br />08/17/�2015 <br />09/02/2019 <br />09/02/2019 <br />09/02/2019 <br />unpaid Baiance j <br />of Auessment , <br />(f3 . <br />14452.88 <br />3460.70 <br />5878.20 <br />10972.85� � <br />10142.16 <br />. ; <br />1 <br />. � <br />i <br />e <br />Place of Filing <br />Register of Deeds ' <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total �$ 44906.79 <br />This notice was prepared end signed at �_�'� � IL <br />� 27th day of June 2011 . <br />. <br />, on this, <br />Signature T�� � <br />�� REVENUE OFFICBR 24-10-1721 <br />fqr ERIC MARTIN (402) 473-4674 � � � <br />(NOTE: Cerbificete of officer euthorized by law to teke acknowledgment Is not essential to tha validity of NoUce of FerJeral Tax lien <br />• Rev. Ru(. 71-466, 1971 '- 2 C.B. 4091 • Form 668(Y)(t) IRev. 2-2004) <br />Part 1- K�t B�r Rewrding Offite ' CqT. NO 600ZbX <br />�d.�.�d�d�� <br />