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<br />06/27/2006 15:38 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />li1I 005/005 <br /> <br />& fonR 668 (Y)(<) <br />(Rev. February 2004) <br /> <br />1872 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200605747 <br /> <br />Area: Serial Number <br />SMAJ"L BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829-3903 297478106 <br /> <br />As provided by section 632 t, 6322, and 6323 of the' Internal Revenue <br />Code, we are giving a notice that taxes (induding 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 tha~ may accrue. <br /> <br />Name of Taxpayer LARRY K JOHNSON DEeD <br /> <br />For Optional Use by Recording Office <br /> <br />1111""\\'\ <br /> <br />9906459017-'7 K DECO <br />.JOHNSONeL6RR,2R7/2006 0i:21 PM <br />Fil.d: <br /> <br />Residence <br /> <br />507 ROUSH LN <br />GRAND ISLAND, NE 68801-2210 <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 />12/31/1998 <br /> <br />Identifying Number <br />(e) <br />XXX-XX-9869 <br /> <br />Date of <br />Assessment <br />(d) <br />05/30/2005 <br /> <br />Last Day for <br />Refiling <br />(e) <br />06/29/2015 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />6810.63 <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 />6810.63 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, . <br /> <br />15 th day of June <br /> <br />2006 <br /> <br />the <br /> <br />Signature <br /> <br />Title <br />ACS <br />for REGINA OWENS (800) 829-3903 <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 66B(Y)(c) (Rev. 2-2004) <br />Part 1 - Kept By Recording Office CAT: NO 60025X <br /> <br /> <br />24-00-0008 <br /> <br />~L <br />