Laserfiche WebLink
12 <12/2003 15:42 FAX 14024714429 NEBRASKA 11CC <br />200316030 <br />�C <br />[x004/004 <br />This notice was prepared and signed at <br />the 05th day of December 2003 <br />ST PAUL, MN <br />, on this, <br />Signature Title <br />REVENUE OFFICER 29 -10 -2339 <br />for KAY "gc «, (308) 364 -6667 <br />(NOTE: Certificate of officer authonzec by law to take acknowvledgri is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -466, 1971 -2 C.B. 409) Form 668(Y)(c) ;Rev. 10 -00) <br />Part 1 - Kept By Recording Office CAT. NO 6OC25X <br />1008 <br />Department of the Treasury - Internal Revenue Service <br />Form 668 (Y)(c) <br />Notice of Federal Tax Lien <br />(Rev. October 2000) <br />Area: <br />Serial Number <br />For Optional Use by Recording office <br />No See of si o - 1J= •rL <br />SMALL BUS I111ESS /SELF EMPLOYED AREA 49 <br />Lien Unit Phone: (651) 312 -8080 <br />146726303 <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 />99e33e77aa -z ft4: 1 <br />aRnol_a TROY w <br />property belonging to this taxpayer for the amount of these taxes, and <br />Fil"d: 12110/2003 92:68 PM <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer TROY W ARNO= <br />Residence 2362 PLATTE RIOTER ROAD <br />DONIPHAN, NE 68832 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (a), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325;a). <br />Tax Period <br />Date of <br />Last Da yy for <br />Unpaid Balance <br />IGnd of Tax <br />Ending <br />identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />6672 <br />03/31/2000 <br />508 -11 -2789 <br />C5/26/2003 <br />06/25/2013 <br />2479.77 <br />6672 <br />06/30/2000 <br />508 -11 -2789 <br />05/26/2003 <br />06/25/2013 <br />5660.47 <br />6672 <br />09/30/2000 <br />508 -11 -2789 <br />05/26/2003 <br />06/25/2013 <br />4722.63 <br />6672 <br />12/3-1/2000 <br />508 -11 -2789 <br />05/26/2003 <br />06/25/2013 <br />3318.62 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 16181.49 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 05th day of December 2003 <br />ST PAUL, MN <br />, on this, <br />Signature Title <br />REVENUE OFFICER 29 -10 -2339 <br />for KAY "gc «, (308) 364 -6667 <br />(NOTE: Certificate of officer authonzec by law to take acknowvledgri is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -466, 1971 -2 C.B. 409) Form 668(Y)(c) ;Rev. 10 -00) <br />Part 1 - Kept By Recording Office CAT. NO 6OC25X <br />