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<br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />02/10/2006 13:20 FAX 14024714429 <br /> <br />NEBRASKA uee <br /> <br />~, <br /> <br />)'v <br /> <br />1872 <br /> <br />form 668 (Y){c) <br />(Rev. February 2004) <br /> <br />Area: serial Number <br />WAGE & INVESTMENT AREA #2 <br />'Lien Unit phone: (BOO) 829-7650 27B4~006 <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 tupayer. We have made <br />a demand 'for payment ,of this' liability, bu~ it 'remains unpaid. Therefore, <br />there is a lien in favor of the United St~tes on alt property and rights to <br />property belonging to this taXpayer for the amount of these taxes, and <br />additional penalties, intere~t, and costs that may accrue. <br /> <br />Name of Taxpayer ENIO T MAZARIEGOS CHOJ <br /> <br />Residence <br /> <br />504 S ADAMS <br />GRAND ISLAND, NE 68801-6.406 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the data given in column (e), this notice shall. <br />on the day following such date, operata as a certificate of release as defined <br />in IRC 6325(al- <br /> <br />I4J 005/006 <br /> <br />200601196 <br /> <br />For Optional Use by Recording Office <br /> <br />"""\\\\,\ <br /> <br />9906431791-1 pgs. <br />ZARIEGOS CHOJ E\IlIO T <br />~~L.d: 0211012006 06:41 RM <br /> <br />Kind of Tax <br />(a) <br />~040 <br /> <br />Tax Period <br />Ending <br />. (b) <br />~2/31/1997 <br /> <br />Date of <br />Assessment <br />(d) <br />08/16/2004 <br /> <br />Last Day for <br />Refil1ng <br />(e) , <br />09/15/20~4 <br /> <br />Identifying Number <br />(c) <br />. xxx-XX-:-4052 <br /> <br />I. <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand ,Island, NE 68802-1692 <br /> <br />This n?tice was prepared and sign~d at <br /> <br />ST PAUL, MN <br /> <br />. on this, . <br /> <br />the <br /> <br />Olst day of February <br /> <br />2006 <br /> <br />Total $ <br /> <br />Signature <br /> <br /> <br />.af/~, <br /> <br />Title <br />ACS <br />(800) 829-7650 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />5895.98 <br /> <br />5895.98 <br /> <br />12-00-0000 <br /> <br />(NOTE: Certificate of officer euthorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />~_.. 0,,1 "11-<1.1;"'- 1971 - 2 C.B. 409) , <br /> <br />for DEBRA K- <br /> <br />. ., __. D.. D........t1in.. Office <br /> <br />Form 668(Y)(C) lRev. 2-Z004} 'v. <br />CAT. NO 60025X \ <br />