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<br />~_...~~~~~--_-----..-- <br /> <br />_~EBRASKA Dee <br /> <br />141 008/010 <br /> <br />02/03/2006 16:41 FAX 14024714429 <br /> <br />200601021 <br /> <br />~ <br /> <br />1872 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />Form 668 {Y}{C} <br />(Rev. February 20041 <br /> <br />Area: Serial Number <br />WAGE & INVESTMENT ~EA #2 <br />Lien Unit Phone: (800) 829-7650 270463206 <br /> <br />A5 provid:ed 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 /> <br />Name of Taxpayer ALEC M MORALES ORTIZ <br /> <br />For Optional Use by Rec;ording Office <br /> <br />1lllllllll'llll <br /> <br />9906436638-0 Pss: 1 <br />MORRLES ORTIZ ALEC M <br />Fil.d: 02/03/200& 02:41 PM <br /> <br />Res.idence <br /> <br />2222 BELLWOOD DR APT 77 <br />GRAND ISLAND, NE 68801-8279 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment 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 IRC 6325(a). <br /> <br />Kind of Tax <br />(a) <br />1040 <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2001 <br />12/31/2002 <br /> <br />Identifying Number <br />(e) <br />XXX-XX-5638 <br />XXX-XX-5638 <br /> <br />Date of <br />Assessment <br />(d) <br />03/14/2004 <br />11/15/2004 <br /> <br />Last Day for <br />Refiling <br />(e) <br />04/13/2014 <br />12/15/2014 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />1572.54 <br />4395.56 <br /> <br />Place of Filing <br /> <br />(' <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />5968.10 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL,. MN <br /> <br />, on this, <br /> <br />25th day of January <br /> <br />2006 <br /> <br />the <br /> <br />for DEBRA K. <br /> <br /> <br />afl~ <br /> <br />Title <br />ACS <br />(800) 829-7650 <br /> <br />12-00-0000 <br /> <br />Signature <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />~~U c.., ., LA.Rl'l 1 q71 _ 2 C.B. 409) Form 66B(Y)(c) (Rev. 2.2004) <br />....-r ~'I"'I .:;nn?!';x <br /> <br />