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10/07/2011 FRx 15:01 FAS 402 471 4429 UCC SECRETARY OF STATS �yy 8a11 <br />�J004/005 <br />�� 3351 <br />Department of the Treasury - tnternal Revenue Senrice <br />Form 668 (Y){c) 2 0110'7 5 2�. <br />tRav. Fabruary �2004) Notice of Federal� Ta�c Lien <br />Area: Seriat Number <br />SMALL BUSINESS/S�LF EMPLOYED AREA #4 <br />Lien Unit Phone: {gOa� 829-3903 � , - 814845311 <br />As provided by sect�on 6321, 6322, and 8323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including mterest and pena[t�es) <br />have b�n assessed against the following namcd taxpayer. We have made <br />a demand for payment of tl�is liabifity, but it remains unpaid. Therefore, <br />there is a lien in favor of the llnfted States on all property and rig6ts to <br />property belongtmg to this texpayer for the amount of' these taxes, and <br />a ddid o nal penalti�s, . i n te re st, a nd c that may au <br />Name of Taxpayer MICHAEL M& LYNN DECD JOHNSON <br />Residence 314 CHEROKEE AVE <br />. GRAND r5LAND, NE 68803-3805 <br />IMPORTANT RELEAS� 1NFORMA770N: For each essessment listed belovv, <br />uNess notice of the iien is reflled by the date give� in column {81, this notice shall, <br />on the day foUowing such date, operate as a certificate of reiease as defined <br />in IRC 6325(a1. <br />Tax Period � Date of Last Da�y for <br />IC�nd of Tax Ending ldent�g Namber Assessment Re�iling <br />DN LYNN dEGD <br />: 10/07/2011 10:� AM <br />llnpaid Balance <br />of Assessment <br />1040 12/31/2Q07. XXX-XX-8816 07./2'0/2009 08j19/2019 <br />1040 -12/31j2008 XXX-XX-8816 06/22/20fl9 07/22i2019 <br />� <br />�1260.34 <br />1.926 . 82 • <br />t� <br />�. <br />i <br />F• • <br />t� <br />Place of Filing <br />Register of Deeds <br />Ha11 POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total �$ 12 6 8 7.16 <br />This notice was prepared and signed at � CHICAGO, IL <br />the 15th day ot September 2011 <br />. <br />, on this, <br />Signatuse ��� Title • <br />ACS SBSE . 24-00-0008 <br />"for MICHAEL W. COX (800) 829-39�3 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment'is not essential to the vatidity bf Notice of Federef Tax Ifen <br />Rev. Rul. 71-486, 197i - 2 C.B. 409) Form 6b8(Y)(t) (Rev. 2-2004) <br />• Part 1- Kept By Recording OEfice CAT. NO 60025X\q„/ <br />V <br />For Optlonal Use by Recording Offlce <br />ue ee.. wt S�waa lehn 11 6sla � UCC FTL <br />