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05/2,0/2005 16:24 FAX 14024714429 <br />1872 <br />Form 668 (y)(c) <br />(Rev. February 20041 <br />NEBRASKA UCC <br />200504601_ <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number For optional Use <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 2255086D5 <br />Lien Unit Phone: (800) 829 -3903 <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 PHILLIP J TUREK <br />Residence 362 S 130TH RD <br />WOOD RIVER, NE 68883 -9773 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />IM 002/005 <br />Uttice <br />Wr S" of St &A• <br />FTL <br />I <br />9905395671'' -4 Pga; 1 <br />TREK PH"l P 3 <br />Filed: 06/20/2005 08:21 AM <br />Place of Filing <br />Register of needs <br />Hall PODOX 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 28th day of Aprll 2005 <br />ST PAUL, MN <br />Total 1$ 3733-54 <br />, on this, <br />Signature ACS 29 -00 -0008 <br />for S KILPA'TRICK 1 (800) 829 -3903 <br />(NOTE. Certificate of officer authorized by law to take acknowledgment is not essential to tha 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 />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifyiing Number <br />Assessment <br />Refiling' <br />of Assessment <br />(a) <br />____ - (b) <br />(G) <br />(d) <br />(e) <br />(f) . <br />1.040 .•12/1/2003 <br />- <br />505 -92 -3980 <br />06/14/2004 <br />07/14/2014 <br />3733.54 <br />Place of Filing <br />Register of needs <br />Hall PODOX 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 28th day of Aprll 2005 <br />ST PAUL, MN <br />Total 1$ 3733-54 <br />, on this, <br />Signature ACS 29 -00 -0008 <br />for S KILPA'TRICK 1 (800) 829 -3903 <br />(NOTE. Certificate of officer authorized by law to take acknowledgment is not essential to tha 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 />