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<br />06/27/2006 15:38 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />141 003/005 <br /> <br />vt <br /> <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br /> <br />1872 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200605745 <br /> <br />Area: Serial Number <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 297467806 <br /> <br />A$ 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 JOSE E ECHEVARRIA FRANCO <br /> <br />For Optional Use by Recording Office <br /> <br />\111111111" <br /> <br />99064159013-9 Pes' 1 <br />ECHEVARRIA FRANCO JOSE E <br />Flied: 06/27/200601,16 PM <br /> <br />Residence <br /> <br />PO BOX 2277 <br />GRAND ISLAND, NE 6B802-2277 <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 /> Tax. Period Date of Last Dad; for Unpaid Balance <br />Kind of Tax Ending Identifying Number A$sessment .Refi 109 . of Assessment <br />(a) (bl (c) (d) (e) (f) <br />1040 12/31/2003 . XXX-XX-7819 04/15/2004 05/15/2014 <br />1040 12/31/2003 XXX-XX-7819 01/03/2005 02/02/2015 5252.61 <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 />5252.61 <br /> <br />This notice was prepared and signed at <br /> <br />. ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />15th day of .June <br /> <br />2006 <br /> <br />for DEBRA K. HURST <br /> <br /> <br />Title <br />ACS <br />(800) 829~7650 <br /> <br />12-00-0000 <br /> <br />Signature <br /> <br />(NOTE: Certificate of officer authoriled 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. 409) <br /> <br />P"rt. 1 - KeDt By Recording Office. <br /> <br />Form 668(Y)(c) (Rev. 2-2004) <br />CAT. NO 60025X <br /> <br />....f".... <br /> <br />,~ <br />