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11/02/2011 WED 14:50 FAX 402 471 4429 UCC SECRETARY OF 5TATE ��� Hall <br />`�� Form 668 (Y)(c) <br />(Rev. Fehrua�y 2404� <br />Department of the Treasury - Internai Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (eoo) 913 a23329611 <br />As provided tiy section 6321, 6322, and 6323 of the tnternal Revenue <br />Code, we are giving a notice that t�es (including interest and penalties) <br />have been assessed against the following-named ta�cpayer. We ha�e made <br />a demand for payment of th'rs liabiliry, but it remains uopaid. Therefore, <br />there is a lien in favor of the llnited States on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br />ame of Taxpayer CARPIO CASARES <br />Residence 1110 E 6TH ST <br />GRAND ISLAND, NE 68801-2824 <br />20110���4 <br />I ' IMPORTANT RELEASE INFORMATION For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (e), this notice shalt, <br />on the day tollowing such date, operate as a certificate of release as defined <br />in IRC 6325(af. <br />Tax Period Date of Last Day for <br />Kind of Tax Ending Identifying Number Assessment Refi[ing <br />(a) (b) (�) (d) (e <br />1040 12/31/2005 XXX-XX-0711 09/03/2007 10/03/2017 <br />1040 12/31/2006 XXX-XX-07I1 02/19/2007� 03/21/2017 <br />1040 12/31/2006 XXX-XX-0711 07/14/2008 08/13/2018 <br />Place of Fil'sng <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802=1692 <br />For Optional Use by Recording Office <br />NE 9ec o� 5late Jnhn R 6ale - UCC FTL <br />9911675897-4 Pss: 1 <br />CASiiRES CRRPIO <br />Filed: 11/02/2011 11:05 AM <br />1�003/004 <br />llnpaid Balance <br />of Assessment <br />18344.81 <br />3933.96 <br />Total �$ 22278.7'7 <br />This notice was prepared and signed at <br />the 24th day of October <br />CHICAGO, IL <br />2011 <br />, on this, <br />Signature Title <br />��` REVENUE OFFICER 24-10-1720 <br />for DANIELLE- L MUELL �(402) 473=4675 x2912 . <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-20041 <br />• . � Pact •1 - Kept By Recording' UfEice CAT..NO 60025X <br />� � <br />