Laserfiche WebLink
y.rr <br />09/08/2004 11:16 FAX 14024714429 NEBRASKA UCC Q 004 /007 <br />This notice was prepared and signed at <br />the 26th day of August <br />2004 <br />ST PAUL, MN <br />on this, <br />St <br />Signature - A� Title <br />- ACS 15 -00 -0000 <br />for WANDA W. BROWN (800) 829 -7650 <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) <br />AT <br />Part 1 - Kept By Recording Office Form 668(lt C (Rev. 2-2004) 5X <br />CAT. NO 60025X <br />9303 <br />Department of the Treasury - Internal Revenue Service <br />Form 668 (Y)(c) <br />Notice of Federal Tax Lien <br />(Rev, February 2004) <br />Area: <br />Serial Number <br />For Optional Use by Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (651) 312 -8080 <br />189055004 <br />Ns s« of s4.+. - ucc <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 />9904349414 -2 Pas; 1 <br />property belonging to this taxpayer for the amount of these taxes, and <br />FFllaid: 09/0 /2004 04;41 PM <br />additional penalties, interest, and costs that may accrue. <br />2 0 0 4 0 8 9 5 4 <br />Name of Taxpayer SCOTT B ARNOLD <br />Residence 412 N CUSTER <br />GRAND ISLAND, NE 68803 <br />ELEASE INFORMATION: For each assessment listed below, <br />e lien is refiled by the date given in column (e), this notice shall, <br />=IRC6325(a). <br />ing such date, operate as a certificate of release as defined <br />I <br />Ki nd of Tax <br />Tax Period <br />Ending <br />Identifying Number <br />Date of <br />Assessment <br />sees <br />Last Dayy for <br />Refiling <br />Unpaid Balance <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/1997 <br />505 -92 -0429 <br />11/11/2002 <br />12/11/2012 <br />8543.38 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 8543.38 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 26th day of August <br />2004 <br />ST PAUL, MN <br />on this, <br />St <br />Signature - A� Title <br />- ACS 15 -00 -0000 <br />for WANDA W. BROWN (800) 829 -7650 <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) <br />AT <br />Part 1 - Kept By Recording Office Form 668(lt C (Rev. 2-2004) 5X <br />CAT. NO 60025X <br />