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<br />03/06/2006 16:46 FAX 14024714429 <br /> <br />NEBRASKA uee <br /> <br />~ 003/003 <br /> <br />&_.u...._ ..._ <br /> <br />Form 668 (Y)(c) <br />(Rev. FebrUllry 2004) <br /> <br />200601954 <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) 829-3903 276039706 <br /> <br />A5 provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (induding 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 ilr favor of the United States on all property and rights 'to <br />property belonling to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. ' <br /> <br />Name of Taxpayer ALBERT J HALLER <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />9916441683-8 Pgi: 1 <br />HALLER ALBERT J <br />Fl1~: 03/06/2006 11:10 AM <br /> <br />Residence <br /> <br />PO BOX 1654 <br />GRAND ISLAND, NE 68802-1654 <br /> <br />IMPORTANT RELEASE INFORMATlON: 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 certi.ficate of release as defined <br />in IRC 6325(a). <br /> <br /> Tax Period Date of Last D~ for Unpaid Balance <br />Kind of Tax Ending Identifyinl Number Assessment R~filng of Assessment <br />(a) (b) c d (e) f) <br />1040 12/31/1998 XXX-XX'-8620 12/06/2004 01/05/2015 16612.06 <br />1040 12/31/1999 XXX-XX-8620 12/06/2004 01/05/2015 4400.07 <br />1040 12/31/2000 XXX-XX-8620 12/06/2004 01/05/2015 5555.40 <br />1040 12/31/2001 XXX-XX-8620 12/06/2004 01/05/2015 56163.57 <br /> <br />Place of Filing <br /> <br />Register of "Deeds <br />Hall POBOX -1692 <br />Grand Island, NE 68802-1692 <br /> <br />T01al $ <br /> <br />82731.10 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />23 rd day of February <br /> <br />2006 <br /> <br />Signature <br /> <br />Title <br />ACS <br />for REGINA OWENS (800) 829-3903 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien ? (\ <br />Rev. Rut. 71-466, 1971 - 2 C.B. 4091 Form 66B(Y)(c) (Rev. 2,2004). '1) <br />Pari 1 . Kept By Recording Office CAT. N060025X <br /> <br /> <br />24-00-0008 <br />