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Last modified
10/13/2011 7:29:43 PM
Creation date
10/20/2005 9:30:20 PM
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DEEDS
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200007513
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09iL2/2000 08:40 FAX 14024714429 NEBRASKA UCC <br />0 005!005 <br />u"f <br />111111II11�1lllll� <br />Form 668 (Y)(c) <br />59 09 Department of the Treasury - Internal Revenue <br />rjf1 <br />e00aze7s ✓llll11111fill �1� <br />(Pev. August 1897) <br />Notice of Federal Tax Lien <br />SHUT TER JOHN Gg, <br />FIed: 09/11120ap 03,34 <br />pM <br />District Serial Number <br />, <br />For optional Use by Recordirg Office <br />MIDWEST <br />390038271 <br />14 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 <br />been assessed against the following -named taxpayer. We have made <br />200007513 <br />�. a demand for payment of this liability, but it remains unpaid. Therefore, <br />there is a Hen in favor of the United States <br />on all Property and rights to <br />property belonging to this taxpayer for the amount of these taxes, <br />and <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer JOI�1 A SACJTTER <br />Residence 715 W ANNA <br />GRAND ISLAND, NE 68801 <br />IMPORTANT RELEASE INFORMATION: For <br />each assessment listed below, <br />unless notice of the lien is refilad by the date given in column {e), this notice shall, <br />on the day following such date, <br />operate as a certificate of release as defined <br />in IRC 6325 {a),, <br />Kind of Tax <br />Tax Period <br />En b) g <br />Identifying Number <br />Date of <br />Assessment <br />Last Dayy for <br />Refilfn <br />Unpaid Balance <br />a <br />c <br />d <br />9 <br />of Assessment <br />1040 <br />12/31/1999 <br />5D5 -82 -5679 <br />05/29/2000 <br />06/28/2010 <br />f <br />916.79 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ <br />_ Grand Island, NE 66802 -1692 <br />918.79 <br />Tnis notice was prepared and signed at MILWAUKEE, WI <br />the � 6th day of September, 2000 <br />Signature <br />for PO E <br />(NOTE: Certificate of o icer authonz <br />Rev. Rul. 71 -466, 1971 • 2 C.B. 409), <br />, on this, <br />Title Revenue Officer 39 -01 -2337 <br />(308) 385 -6548 <br />law t take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Part 1 - Kept By Recording Office Form 669(Y)(c) (Rev. 8 97) <br />CAT. NO 60025X. <br />
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