Laserfiche WebLink
<br />11/15/2005 17:03 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />,~.- ~~~~--_._--~-------._,.,~.~ --- <br /> <br />~ 004/004 <br /> <br />~-~ ....-------_.~ -~.........-- <br /> <br />200511292 <br /> <br />)~ <br /> <br />1872 <br /> <br />Department of the Treasury - Internal' Revenue Service <br />Notice of federal Tax Lien <br /> <br />For Optional Use by Recording Office <br /> <br />Form 668 (Y){C) <br />(Rev. February 2004) <br /> <br />Area: Serial Number <br />sMALL BUSINESS/SELF EMPLOYED AREA #9 <br />Lien Unit phone: (800) 829-3903 256977605 <br /> <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 /> <br />Name of Taxpayer JERRY L & CAROLE L DENTQN <br /> <br />.1111111\1\111 <br /> <br />9905422461-3 PlIS: 1 <br />DENTON JERRV L <br />Fil.d: 11/15/2006 11:15 AM <br /> <br />Residence <br /> <br />205 S CEDAR <br />GRAND ISLAND, NE 68801-6501 <br /> <br />IMPORTANT RELEASE INfORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (el. this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br /> <br />Kind of Tax <br />(a) <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2003 <br /> <br />Identifying Number <br />(el <br />505-52-3010 <br /> <br />Date of <br />Assessment <br />(d) <br />12/20/2004_ <br /> <br />Last Day for <br />Refiling <br />(e) <br />01/19/2015 <br /> <br />Unpaid Balance <br />of Assessment <br />(0 <br />13415.59 <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />13415.59 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />o 1st day of November <br /> <br />2005 <br /> <br />Signature /J / ./ <br />'A4t1A/ U.. n~ <br />for S KILPATRICK <br /> <br />(NOTE: Certificate of officer authorized by law to- take acknowledgment is not essential to the validity of Notice of Federal Tax nen <br />_" '. __ . ....." ., r I'l 4n9\ ' Form 668(Y)(c) (Rev. 2-2004) D <br />...."'-n I:AT. N060025X d <br /> <br />Title <br />ACS <br />(8'00) 829-3903 <br /> <br />29~OO-0008 <br />