Laserfiche WebLink
1 <br />v <br />12/09/2003 16:00 FAX 14024714429 NEBRASKA UCC <br />200315906 <br />Department of the Treasury - Internal Revenue Service <br />Form 668 (Y)(c) <br />(Rev. 0atobei 2000) Notice of Federal Tax Lien <br />Ia 005 <br />Area: Serial Number <br />For Optional Use by Recording Office <br />QTL <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (651) 372 -8080 146058203 <br />of MMA - 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 />95W30 0-9 P°� t <br />property belonging to this taxpayer for the amount of these taxes, and <br />.d t 2003 09:62 PM <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer PAMELA J AHLMAN <br />Residence 2605 BRAD A <br />GRAND ISLAND, NE 68801 -7615 <br />T RELEASE INFORMATION: For each assessment listed below, <br />of the lien is refiled by the date given in column (e), this notice shall, <br />Eth7daV <br />following such date, operate as a certificate of release as defined <br />(a), <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Reffiling <br />of Assessment <br />a <br />b. <br />(c ) <br />(d) <br />(e) <br />(f) <br />6672 <br />12/31/1999 <br />505 -82 -8742 <br />03/14/2003 <br />04/13/2013 <br />3374.75 <br />6672 <br />03/31/2000 <br />505 -82 -8742 <br />03/14/2003 <br />04/13/2013 <br />3774.90 <br />6672 <br />06/30/2000 <br />505 -82 -8742 <br />03/14/2003 <br />04/13/2013 <br />3601.47 <br />6672 <br />G9/30/2000 <br />505 -82 -6742 <br />03/14/2003 <br />04/13 /2013 <br />3063.24 <br />6672 <br />12/31/2000 <br />505 -82 -6742 <br />03/14/2003 <br />04%13/2013 <br />3270.95 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 17085.31 <br />Grand Island, NE 66802 -:1692 <br />This notice was prepared and signed at <br />the C2 rid day of December 2003 <br />Signature <br />for SAY PONTE- <br />0 <br />ST PAUL, N <br />Title <br />RRI,7NUE OFFICER <br />(308) 384 -6667 <br />on this, <br />29 -10 -2339 <br />(NOTE: Certificate of officer authorized by iaw to take acknowledgment is not esserivai io me vaiici.y or nonce Ai rZUU10- � an <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) ^�n Form 668(Y)(c) (Rev. 10_00) <br />