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<br />02/10/2006 13:20 FAX 14024714429 <br /> <br />NEBRASKA UCC <br /> <br />~ 0041006 <br /> <br />'" <br /> <br />200601195 <br /> <br />~ <br /> <br />U <br />Form 668 (Y)(l:) <br />(Rev_ February 2004) <br /> <br />2584 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />Area: Serial Number <br />SMALL' BUSINESS/SELF EMPLOYED AREA #1 <br />Lien Unit Phone: (800) 913-6050 271238506 <br /> <br />For Optional Use by Recording Office <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 DAVID G WESCOAT <br />102 PINE & MURTLE <br />ALDA, NE 68810 <br /> <br />PO BOX 42 <br />ALDA, NE 68810 <br /> <br />'I"~"~'"~ <br /> <br />990643T790-9G <br />IolESCOFli ~Fl,1J1~~ 2006 08,32 Fll'l <br />l':iled: 0.. . <br /> <br />-,- <br />Residence <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 SUt:h data, operate as a certificate of release as defined <br />in IRe 6325(a). <br /> <br />Kind of Tax <br />(a) , <br />104-0 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2003 <br /> <br />Identifying Number <br />(e) <br />XXX-XX-7406 <br /> <br />Date of <br />Assessment <br />, (d) <br />07/18/2005 <br /> <br />Last ~ay for <br />Retiling <br />(e) <br />08/17/2015 <br /> <br />Unpaid Balance <br />of Assessment <br />(I) <br />6690.14 <br /> <br />Place of Filing <br /> <br />,Register at' Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1~92 <br /> <br />Total. $ <br /> <br />6690.14 <br /> <br />This notice was prepared and signed at <br /> <br />, ST PAUL, MN <br /> <br />,on this, <br /> <br />27th day of January <br /> <br />2006 <br /> <br />the <br /> <br />Signature '.,Mx1ttA..1 tt II~ t!R~E PROe MGR 21-00-0018 <br /> <br />for DOROTHY OWENS (866) 611-6191 <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 />!'le\l Rill. 71-466,1971 _ 2 C.B. 409) , . . Form 668(Y)(c;) (Rev. 2-2004) \ <br />. ..,. __" .._.__.ll_~ nfflr.. - CAT. NO 60025X U <br />