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<br />05/10/2006 13:31 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />IgJ013 <br /> <br />1 <br />}..I"\ <br />00 <br /> <br />Form 668 (Y)(C) <br />(Rev. February 2004) <br /> <br />200604150 <br /> <br />1872 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />Area: Serial Number <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 287575806 <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 THANNING W ANDERSEN <br /> <br />For Optional Use by Recordi'ng Office <br /> <br /> <br />9906452440-7 PQ$; 1 <br />RNDERSEN THANNING W <br />Filed: 06/0B12006 03:02 PM <br /> <br />Residence <br /> <br />409 1/2 W 7TH <br />GRAND ISLAND, NE 68801-4215 <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 IRC 6325(a). , <br /> <br />Kind of Tax <br />(a) <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2002 <br /> <br />Identifying Number <br />(e) <br />XXX""XX-6342 <br /> <br />Date,of <br />Assessment <br />(d) <br />OS/23/2005 <br /> <br />Last Day for <br />Refiling <br />(e) <br />06/22/2015 <br /> <br />Unpaid' Balance <br />of Assessment <br />(f) <br />5328.75 <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 />5328.75 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL', MN <br /> <br />, on this, <br /> <br />the <br /> <br />28th day of April <br /> <br />2006 <br /> <br />Signature <br /> <br /> <br />Title <br />ACS <br />(800) 829-7650 <br /> <br />12-00-0000 <br /> <br />for DEBRA K. HURST <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 />Rev_ Ru!. 71-466, 1971 - 2 C.B. 4091 Fo-rm 668(Y)(c) (Rev. 2-2004) <br />Part 1 - Kept By Recording Office CAT. NO 60025X <br /> <br />fJ <br />