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<br />06/16/2006 16:21 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />li!I 0021002 <br /> <br />d- <br /> <br />2006054,to <br /> <br />4672 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />form '668 (Y)(c) <br />(Rev; February 2004) <br /> <br />Area: S~rial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (BOO) 913-6050 295670206 <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 foilowing-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 tights 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 LEONA L VOJTA <br /> <br />For Optional Use by Recording Office <br /> <br />11\\\\1\\\\"'\\\ . <br />9906457511-3 pg <br />~~ll~,l.~~~~!l~20Q16 11 :27 F\l'I <br /> <br />Residence <br /> <br />lsi60 W BARROWS RD <br />KENESAW, NE 689.56-9603 <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 IRe 6325(a). <br /> <br />Kind of Tax <br />(a) <br />1040 <br /> <br />Tax Period <br />Ending . <br />(b) <br />12/3l/2003 <br /> <br />Identifying Number <br />(c) <br />XXX-XX-0858 <br /> <br />Date of <br />Assessment <br />(d) <br />02/28/2005 <br /> <br />Last Day for <br />Refihng <br />(e) <br />0,3/30/2015 <br /> <br />Unpaid Balance <br />of Assessment <br />(I) <br />4889.65 <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 />4889.65 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />I on this, <br /> <br />06th day of June <br /> <br />2006 <br /> <br />the <br /> <br />Signature <br /> <br /> <br />Title <br />REVENUE OFFICER <br />( 3 0 8 ) 3 8.4 - 4 8 5 0 <br /> <br />24-10-2339: <br /> <br />for KAY PONTE <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notica of Federal Tax lien <br />Rev. Ru!. 71-466,1971 - 2 C.B. 409) Form 668(Y)(C} IRev.,2-20Q41 <br />Part 1 - KeDt By Recording Office "^, /\In "''''''ll'\( <br /> <br />~\ <br />