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<br />07/21/2006 16:11 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />Igj 003/003 <br /> <br />Dii..... 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 />20060&506 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829-3903 301841406 <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 an~ rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and' costs that may aCCl1le. <br /> <br />Name of Taxpayer RONALD D 'COOK <br /> <br />For Optional Use by Recording Office <br /> <br />\11111111111 <br /> <br /> <br />9906462250-6 pg . <br />~yy~~o~~~192006 11:17 AM <br /> <br />Residence <br /> <br />PO BOX 169 <br />ALDA, NE 68810-0169 <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 /> Tax Period Date of Last Da~ for Unpaid Balance <br />Kind of Tax . Ending Identifying Number Assessment Refi mg of Assessment <br />. (a) (b) (e) (d) (e) (O <br />1040 12/31/2003 XXX-XX-8638 09/06/2004 10/06/2014 <br />~ 0.40 12/31/2003 XXX-XX-8638 03/20/2.006 04/19/2016 3196.83 <br />1040 12/31/2004 XXX-XX-8638 11/07/2005 12/07/2015 3761. 31 <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 />6958.14 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN' <br /> <br />, on this, <br /> <br />11 th day of July <br /> <br />2006 <br /> <br />the <br /> <br />Signature ~8~ 24700-0qO~, <br /> <br />for REGINA OWENS (800) 829-3903 ." f"\ <br />, ,.. _, u(NOTE:_Certific8te of. attiC,er, a,uthoril.\!lQ, by laW_t9 ta~e ac!<.nQ.w,l~dgmen\.Js n.ot e~sentia! to th~, v,!i'!dJty ,~!_Noti.!l~~f F~d~ral Tax, her.!. _ _, '-"\ \ ,_ <br />Rev. Rul. 71-466,1971 - 2 C.B. 409) ,'Form 668(Y)(e) (Rev. 2-2004) _ )./ <br />Part t - Kept Bv lleeordiDlt Offlce ~. ~ .,~ ---~-" <br /> <br />