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<br />02/03/2006 16:40 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />141 007/010 <br /> <br />~ . <br /> <br />CJ Form 668 (Y)(c) <br />(Rev. February 2004) <br /> <br />200601020 <br /> <br />1872 <br /> <br />Department of the Treasury - Internal Revenue Service <br />N.otice of Federal Tax Lien <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829-3903 270461006 <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 foliowing~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 aU 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 Taxpay'er LUIS EUGENIO MATOS <br /> <br />For Optional Use by Recording Office <br /> <br />NIi See IIf ,...h Jllh.. N 8.0111 - ute FT~ <br /> <br /> <br />9906436629-7 PSIS' 1 <br />MATOS LUIS EUGENIO <br />Filed: 02/03/2006 02:41 PM <br /> <br />Residence <br /> <br />610 W 4TH ST <br />GRAND ISLAND, NE 68801-4527 <br /> <br />IMPORTANT RELEASE INFORMATION: For each ~ssessment listed below,. <br />unless notice of the lien is refiled 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 IRe 6325(a). <br /> <br /> Tax Period Date of Last Da~ for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refilng of Assessment' <br />(a) b) c d) e f). <br />1040 12/31/2001 XXX-XX-7607 01/10/2005 02/09/2015 6825.20 <br />1040 12/31/2002 XXX-XX-7607 02/21/2005 03/23/2015 4726.13 <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 />11551.33 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />25th day of January <br /> <br />2006 <br /> <br />Signature <br /> <br />Title <br />ACS 24-00-0008 <br />for REGINA OWENS (800) 829-3903 ". <br />(NOTE: Certificate of officer authorized by law to take aGknowledgment is not essential to the validity of NotiGe of Federal Tax lien ?0 <br />Rev. Rut. 71-466,1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004) <br />. ... _ _ ___..JI'!.~_ ,,~__ <br />r>A"" "In ~nn?I=\"'" <br /> <br /> <br />af(~ <br />