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<br />OS/22/2006 16:00 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />~ 007/007 <br /> <br />~ <br /> <br />200604550 <br /> <br />1872 <br /> <br />Department of the Treasury - Internal Reven~e Service <br />Notice of Federal Tax Lien. <br /> <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 290977906 <br /> <br />As provided by section 6321, 6322, and 6323 9f 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 EDWARD D SABATKA <br /> <br />'''Oiiiiliifi\l <br /> <br /> <br />9906454369-7 . PS <br />~~:~A0~~7~0g6 02,47 p~ <br /> <br />Residence <br /> <br />2624 S LOCUST, ST <br />GRANDISLAND, NE 68801-8228 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is fefiled 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 /> Tax Period Date of Last Day for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refihng of Assessment . <br />(a) (b) (c) Cd) (~) (0 <br />941 03/31/2005 48-0844616 06/13/2005 07/13/2015 427.36 <br />941 06/30/2005 48-:0844616 01/02/2006 02/01/2016 4597.29 <br />941 09/30/2005 48-0844616 01/02/2006 . 02/01/2016 17597.27 <br />941 12/31/2005 48-0844616 04/03/2006 05/03/2016 944 ;41 <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 />23566.33 <br /> <br />This notice was prepared and signed at . <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />12th day of May <br /> <br />2006 <br /> <br />Signature <br /> <br /> <br />Title <br />REVENUE OFFICER <br />(308) 384-4850 <br /> <br />24-10-2341 <br /> <br />for PAT KELLOGG <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. Rul. 71-466,1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004) <br />Part 1 - Kept By Recording Office CAT. NO 60025X . <br /> <br />~\ <br />