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<br />02/15/2006 12:15 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />[gJ 005/006 <br /> <br />200601'339 <br /> <br />J <br /> <br />Form 668 (Y)(c) <br />IRev. February 2004) <br /> <br />1872 <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 #4 <br />Lien Unit Phone: (800) 913-6050 272540306 <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 .C05ts that may accrue. <br /> <br />Name of Taxpayer TOTAL SERVICES INC 12 - 27- 94 , a Corpor <br /> <br />For Option/ll Use by Recording Office <br /> <br />1llll~IIJllll <br /> <br />9906438640..3 pgs: 1 <br />TOTAL SERVICES INC 12-27-94 I <br />Filed: 02/'14/2006 03:27 PM <br /> <br />tion <br /> <br />Residence <br /> <br />511 ,E CAPITAL AVE <br />GRAND ISLAND, NE 68801-2413 <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 reiease as defined <br />in IRe 6325(a). <br /> <br />Kind of Tax <br />(a) <br />6721 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2002 <br /> <br />Identifying Number <br />(c) <br />47-0784222 <br /> <br />Date of <br />Assessment <br />(d) <br />11/14/2005 <br /> <br />Last Day for <br />Retiling <br />(e) <br />12/14/2015 <br /> <br />Unpaid Balance <br />of Assessment <br />(0 <br />2178.37 <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 />2178.37 <br /> <br />This notice was prepared and signed- at <br /> <br />ST PAUL, MN <br /> <br />I on this, <br /> <br />the <br /> <br />03rd day of February <br /> <br />2006 <br /> <br />for MICHAEL <br /> <br /> <br />all~ <br /> <br />Title <br />REVENUE OFFICER <br />(308). 384-4850 <br /> <br />24-10-2337 <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 /> <br />Rev. Rul. 71-466,1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004) <br />Part t - Kept By Recording Office . CAT. NO 60025X <br /> <br />,0", <br />..tG <br />