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200502408
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Last modified
10/17/2011 3:26:18 AM
Creation date
1/6/2006 2:00:17 PM
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DEEDS
Inst Number
200502408
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03/21/2005 10:49 FAX 14024714429 NEBRASKA UCC <br />i` <br />200502408 <br />1872 - <br />Department of the Treasury - Internal Revenue Service <br />Form 668 (Y)(c) Notice of Federal Tax Lien <br />(Rev. February 2004) <br />r - - <br />Area: Serial Number <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Q004/005 <br />For Optional Use by Necoramg Office <br />Lien Unit Phone: (651) 312 -8080 216832105 w� s.. .r s +.�. - ucc cry <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 89MB4i525 -2 Pa:: f <br />property belonging to this taxpayer for the amount of these taxes, and } DH6 BUILDERS reNCORPaWATEan A c 1 <br />additional penalties, interest, and costs that may accrue. <br />ame of Taxpayer <br />INCORPORATED , a <br />Residence 1004 DIERS AVE STE 300 <br />GRAND ISLAND, NE 68803 -4962 <br />of the lien is refiled by the date given in column (e), this notice shall, <br />EIRC NT RELEASE INFORMATION: For each assessment listed below, <br />following such date, operate as a certificate of release as defined <br />(a). <br />Tax Period <br />Date of <br />Last Da d� for <br />unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Ref[Iing <br />of Assessment <br />(a) <br />(b) <br />c) <br />(d) <br />(e) <br />(f) <br />941 <br />06/30/2004 <br />47- 0845272 <br />12/20/2004 <br />01/19/2015 <br />19541.04 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 03rd day of March <br />2005 <br />ST PAUL, MN <br />Total 1$ 19541.04 <br />on this, <br />Signature / Title <br />REVENUE OFFICER 29 -10 -2337 <br />for MICHAEL W PONTE 1 (308) 384 -6668 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rua. 71 -466, 1971 - 2 C.B. 4091 Form 66SM(c) (Rev. 2 -2004) <br />I <br />
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