Laserfiche WebLink
' <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />3595 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien 201301129 <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />919997913 <br />For Optional Use by Recording Office <br />NE See <br />1 1 <br />9913708345 <br />BERMUDEZ <br />Filed: <br />of State <br />02/1112013 <br />CARLOS <br />Jahn <br />- <br />A Gale <br />12:12 <br />- UCC <br />Pgs: <br />PM <br />FTl <br />1 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the following -named taxpayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there is a lien in favor of the United 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 />Name of Taxpayer CARLOS BERMUDEZ <br />Residence 122 N GRACE AVE . <br />GRAND ISLAND, NE 68803 -4251 <br />IMPORTANT <br />unless notice <br />on the day <br />in IRC 6325(a). <br />RELEASE INFORMATION: For each assessment listed below, <br />of the lien is refiled by the date given in column (e), this notice shall, <br />following such date, operate as a certificate of release as defined <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Refling <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />1040 <br />1040 <br />12/31/2010 <br />12/31/2011 <br />XXX -XX -4796 <br />XXX -XX -4796 <br />02/13/2012 <br />09/24/2012 <br />03/15/2022 <br />10/24/2022 <br />14465.80 <br />370.52 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />$ 14836.32 <br />02/11/2013 MON 14:52 FAX 402 471 4429 UCC SECRETARY OF STATE <br />This notice was prepared and signed at <br />the <br />31st day of January 2013 <br />Signature <br />f or G.J. CARTER -LOUIS <br />CHICAGO, IL <br />y y y <br />Hall <br />(0003 /003 <br />Title <br />ACS SBSE <br />(800) 829 -3903 <br />, on this, <br />24 -00 -0008 <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 - 2004) <br />Part 1 - Kept By Recording Office CAT. NO 60025X <br />