Laserfiche WebLink
r� <br />V� <br />05!05/2003 16:07 FAX 14024714429 NEBRASKA OCC 4004 '004 <br />109 <br />Department of the Treasury - Interrel Revenue Service <br />Porn 66B (Y)(c) is � <br />Notice of Federal Tax Lien <br />,ere p�poda, 2a0o, <br />INYnu'I <br />Serial Number F <br />Illlll�llllll <br />II �II 1111111 <br />WAGE k INVBSTMENE <br />III�II <br />Lien <br />Lien Unit Phone: (800) 829 -7650 390369682 <br />d <br />N provided M sectiun 6321, 6322, and 6323 d the Internal Revenue pe9a2 <br />II <br />4-f pen 1 <br />Code, we are giving a notice that taxes (induding interest and penalties) FgO;a <br />osie�r'TmmP". ,a as <br />have been auetted against the following -named taxpayer. We have made <br />a demand for payment of this f ablifil but k remains unpaid. Therefore, <br />there Is a Ben in favor of the finked States on all property and rights to <br />property belonging as this taxpayer for the amount of these fuss, and <br />additional penalties, laterest, end costs [hat may accrue. <br />Name of Taxpayer JOSE A MADRID ESCALANT <br />Residence <br />ra Ls 1 <br />200305Gt <br />403 E 2ND <br />GRAND ISLAND, NE 68801 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below. <br />units notice of the lien is refilcd by the date given in column lei, this notice shell, <br />on the day following such date, operate es a certificate of raleese as defined <br />in IRC 83251a1. <br />Tax Period <br />Date d <br />Last Da for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Reuling <br />d Assessment <br />a <br />b) <br />c <br />d <br />(e ) <br />(f) <br />1040 <br />121?111996 <br />603 -76 -1471 <br />07/16/2001 <br />05 /15/2011 <br />8198 -98 <br />1040 <br />12/31/1997 <br />603 -76 -1471 <br />07/16/2001 <br />08/15/2011 <br />5651.68 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Ra_1 PCHOX 1692 <br />13850.66 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI , on this, <br />the gist dayof May 2003 <br />Si r Title �{ <br />,,r per ACS 14 -00 -0003 <br />Sig �� ""ari (800) 829 -7650 <br />(NOTE Grtificatn W officer eethorized ay law b take acknowled9meM Is not e4aen6al m the validity of Nmica of Fadwal Tea lien <br />Rev. Rut, 71- 400,19]-,. 2 C.O. 409) Form 666(Y)(,) F.,. 10-001 <br />Put 1 - Kopt By essential, Ofifics CAT. NO 60325X <br />i9 <br />