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200214140
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Last modified
10/15/2011 12:37:15 PM
Creation date
10/22/2005 11:17:46 PM
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DEEDS
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200214140
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12:1712002 08:59 FAX 14024714429 NEBRASKA 11CC <br />fa 004 <br />y Department of the Treasury - Internal Revenue Service <br />Form 668 (Y)(c) 1411 of Federal Tax Lien <br />Ian+, Unit bon II' III' lI1II� 'I'1gll'IIINII'IIII�Ifr�IINI <br />Area: Serial Number N IlnnRtt 111111NIIIIII 1t1( enlllll1111 r(Illllelgnlll'Itgi1gg11llll IIW�IIgIIII IIIyIIItt1IlIII'1t1MnYlII II <br />SMALL BUSIN1E99/SELP EMPLOYED AREA #9 <br />Lien Unit Phone: 16141 297 -3211 390264241 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue 886xaeessa -1 pe` <br />Code, we are ghdrig a notice that taxes (indudin Interest and penalties scxul.rz 2116 ( p <br />g ) PcR&I fa scasu. 7 03 as W <br />have been assessed against the following-named taxpayer. We have made <br />a demand fair 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 coast that may accrue. <br />the 11th day of December 2002 <br />Signature Title <br />� <br />, 4 t REVENUE OFFICER 29 -10 -2339 <br />for KAY POPE (308) 384 -6667 _ <br />(NOTE: CeniliCala of oFiicar authoriaetl try law to \eke acknowletl9menUS ml asaenoal to the vahtlRy of Nclice of fedeml Tex lien <br />Rev. RW, 71 -466, 1971 - 2 O.B. 4081 Form 666(1)(1) Rev. 10 00 <br />Pam 1 - Kept by Relardht Office CAT, NO 6002x% <br />200214140 <br />Residence 3404 W 13TH ST <br />GRAND ISLAND, NE 68803 -2389 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless roost of the lien is refiled by the data given in column lei, this notice shall, <br />on the day following such date, operate as a certificate of release as defimad <br />in IRC 8325(al. <br />Tax Period <br />Date of <br />Last D far <br />Unpaid Balance <br />Kind of Tax: <br />Ending <br />Ending <br />Identifying Number <br />Assessment <br />m <br />Refining <br />of Assessment <br />(a) <br />b <br />(c ) <br />(d ) <br />(e <br />941 <br />06/30/2001 <br />47- 0732214 <br />09/17/2001 <br />10/17/2011 <br />994 -75 <br />941 <br />C9/30/2001 <br />47- 0732214 <br />12/31/2001 <br />01/30/2012 <br />3291.D6 <br />941 <br />03/31/2002 <br />47- 0732214 <br />07/15/2002 <br />08/14/2012 <br />5811.40 <br />941 <br />06/30/2002 <br />47- 0732214 <br />09/23/2002 <br />10/23/2012 <br />2300.63 <br />Place of Fling <br />Register of Deeds Total <br />$ <br />Hall POBOX 1692 <br />12397.84 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI <br />, on <br />this, <br />the 11th day of December 2002 <br />Signature Title <br />� <br />, 4 t REVENUE OFFICER 29 -10 -2339 <br />for KAY POPE (308) 384 -6667 _ <br />(NOTE: CeniliCala of oFiicar authoriaetl try law to \eke acknowletl9menUS ml asaenoal to the vahtlRy of Nclice of fedeml Tex lien <br />Rev. RW, 71 -466, 1971 - 2 O.B. 4081 Form 666(1)(1) Rev. 10 00 <br />Pam 1 - Kept by Relardht Office CAT, NO 6002x% <br />
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