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<br />02/10/2006 13:20 FAX 140~4714429 <br /> <br />NEBRASKA Dee <br /> <br />~ 006/006 <br /> <br />.,,","/#, <br /> <br />~ <br />) <br /> <br />1872 <br /> <br />Department of the Treasury - Internal Revenue Service <br /> <br />, 'Notice of Federal Tax Lien <br /> <br />200601197' <br /> <br />Form 668 (Y)(C) <br />(Rev. February 20(4) <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (BOO) 9D-6050 271617506 <br /> <br />As provided by section 6321, 6]22, and. 6]23 of the Internal Revenue, <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have b~en 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 />proper,ty 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 JAMES K KEESHAN <br /> <br />For Optional Use by Recording Office , <br /> <br />rlrlllllll II', <br /> <br />9986437792-3 PIlS :1 <br />KEEsHAN JAJ'IES K <br />Fil.d: 02/10/2006 08:41 AM <br /> <br />Residence <br /> <br />110 W 2ND <br />G~ ISLAND, NE 68801-5906 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiledby 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 Dal. for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment <br />(a) (b) (c) (d) (e) (f) <br />941 06/30/2004 47-0767239 11/08/2004 12/08/2014 712.92 <br />941 09/30/2004 47-0767239 03/21/2005 04/20/2015 1004.13 <br />941 03/31/2005 47-0767239 0.8/01/2005 08/31/2015 3408.66 <br />941 06/30./2005 47-0767239 10/03/2005 11/02/2015 2794.95 <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 />7920.66 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />31st day of . January <br /> <br />2006 <br /> <br />Signature' ',;Uda-../ a f(~ ~~VENUE OFFICER 24-10-2339 <br /> <br />for KAY PONTE (308) 384-4850 <br /> <br />. (NOTE: Certificate of officer authorized by law to take acknowledgment i,s not essential to the vlIlidity of Notice of ,Federal Tax lien. 'y () <br />Rev. Rul. 71-466,1971 - 2 C.B. 4091 ,Form 668(Y)(c) (Rev. 2-20041 Y <br />D~... 1 _ lC'..nt Bv Recording Office ' CAT. NO 60025X " <br />