Laserfiche WebLink
<br />12/28/2005 16:38 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />141 002/003 <br /> <br />01> <br /> <br />1872 <br /> <br />Form 668 (Y)(c) . <br />(Rev. February 20041 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200512668 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (800) 829-3903 263693405 <br /> <br />As provided by section 6]2.1, 6]22, and 6]2.3 of the Internal Revenue <br />Code, we are giving a notice thac 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 SCOTT A LOOMIS <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />9905429076-3 <br />LOOMIS scon A <br />Filed: 12/28/2005 12:03 PM <br /> <br />Residence <br /> <br />PO BOX 1354 <br />GRAND ISLAND, NE 68802-1354 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refilad 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 /> <br /> Tax Period . Date of Last Day for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refillng of Assessment <br />(a) (b) (e) (d) (e) f <br />1040 12/31/2001 505-84-9273 02/07/2005 03/09/2015 19549.97 <br />1040 12/31/2002 505-84-9273 04/04/2005 05/04/2015 9481. 87 <br /> <br />Place of Filing <br /> <br />Regi ter of Deeds <br />Hall POBOX 1692 <br />Grana Island, .NE 68802-1692 <br /> <br />Total $ <br /> <br />29031.84 <br /> <br />This notice was prepared an signed at <br /> <br />. ST PAUL., MN <br /> <br />, on this, <br /> <br />13th day of ~ecembe~ <br />I <br />i <br />Signature I/?/ / Title <br />. ~a.U U.. n~ ACS <br />.for S KILPATRICK. I (800) 829-3903 <br />(HOTE: Certificate of office authorized by lew to take acknowledgment is not essential to the validity of NotilOe of Federal Tax lien <br />Rev. Ru!' 71-466, 1971 - 2 .B.409) Form 668(Y)(c) (Rev. 2-20041. <br />Part 1 - Kept By Recording Office CAT. NO 60025X <br /> <br />the <br /> <br />2005 <br /> <br />29-00-0008 <br /> <br />ID <br />