Laserfiche WebLink
<br />04/20/2006 15:55 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />IaJ 006/012 <br /> <br />.~ <br />Ur <br />'Form 668 (Y)(c) <br />(Rev. February 20041 <br /> <br />1872 <br /> <br />Department of the Treasury - Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />200603546 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 282887106 <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 DARREL K FOKKEN <br /> <br />For Optional Use by Recording Office <br /> <br />'111""""\ <br /> <br /> <br />9906449267-4 <br />FOl<l<EN DFlR/~~I'i2~0& 12: 44 p~ <br />Flled: 04 , <br /> <br />Residence <br /> <br />403 E 19TH ST <br />GRAND ISLAND, NE 68801-2446 <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 release as defined . <br />in lAC 6325(a). <br /> <br />Kind of Tax <br />(a) <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2003 <br /> <br />Identifying Number <br />(c) <br />XXX-XX-8652 <br /> <br />Date of <br />Assessment <br />(d) <br />09/19/2005 <br /> <br />Last Day for <br />Refiling <br />(e) <br />10/19/2015 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />96025.46 <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> <br />T ota! $ <br /> <br />96025.46 . <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />OSth day of -April <br /> <br />2006 <br /> <br />Signature <br /> <br />Title' <br />REVENUE OFFICER <br />for MICHAEL W PONTE (308) 384-4850 <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. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(n(c) (Rev, 2-2004) <br />.. ..rl._......_~..____..I_6'Pnffi,.A rAT "'nRfln?~)( <br /> <br /> <br />24-10-233.7 <br /> <br />~\) <br />