Laserfiche WebLink
03/12/2012 MON 14:45 FAX 402 471 4429 UCC SECRETARY OF STATE ��� 8a11 <br />�i, <br />1 <br />Form 668 (Y)(t) <br />iRev. Fetrruary 2044) <br />3 <br />�ooz/003 <br />Department of the Treasury - Internal Reveru� Ser��i�e <br />1�Lotice of Federal Tax l,ien 2 0=� 2 019 a� <br />A�ea: Serial fVumber <br />SMALL BUSINESS/SELF EMpLOYED AREA #4 <br />Lien Unit Phone: (800) 829-3903 • SS3029412 <br />/ls provided by section 632t, 6322, and 6323 0� the lntereal Revenue <br />Code, we are giving a not�ce that taxes (including interest a�d penalties) <br />have 6een auessed against the following-aamed taxpayer. 4�fe have made <br />a demand for payment of this 6abitity, but it .remains anpaid. Therefor�, <br />there is a lien in favor .of the llnjteti States on all property and rig#�ts to <br />property belonging to this taxpa�rer for the amowit of these taxes, a�c9 <br />additional penalties, interest, and costs that� may accrue. <br />Residence 1116 W OKLAHOMA AVE <br />GRAND ISI;AND, NE 68801-6651 <br />Far <br />iMPORTANT RELEASE INFORMATIOAI For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). ' <br />Tax Period Date of Last Dax gor <br />Kind of Tax Ending Identifying Number Assessment Refd��a� <br />941 06/30/2010 20-3856452 O1/10/20�.1 02/09/2021 <br />941 12/31/2010 20-3856452 03/28/2011 04/27/2021 <br />Place of Filing <br />JESUS <br />12/2012 11:09 AIN <br />lDnpaid �atance <br />af �4tsessrner�� <br />9�746 . 26 <br />2249.49 <br />Register of Deeds <br />Hall POBOX 1692 <br />GrancT Island, NE 68802-1692 <br />Total �$ 11995.75 <br />This. notice was prepared and signed at CHICAGO, IL , on this, <br />the 02nd day of March . 2 012 <br />Signature Title <br />�� ACS SBSE 24--00-0008 <br />for MICHAEL W. COX (800) 829-3903 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment iF not essential to th� validitv of Notico of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 568{Y)(c) (Rev. 2-2�04) <br />Part 1- KeDt B�► I�ecording Offic� C,�:"r. �,0 f+C�?^-.5X <br />Iptional Use by Recording Office <br />