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<br />__~~1I2006 16: 55 FAX 14024714429 u__ ___ NEBRASKA Dee <br /> <br />~ 0041005 <br /> <br />200607483 <br /> <br />,;{., <br />o <br /> <br />1872 <br /> <br />Department of the Treasury p Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />Form 668 (Y)(c) <br />lRev. February 2004) <br /> <br />Area: Serial Number <br />- SMALL BUSINESS/SELF EMPLOYED AREA ~4 <br />Lien Unit Phone: (BOO) '913-6050 309273806 <br /> <br />As provided by section 6321, 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 foUowing-named taxpayer. We have made <br />'a demand for payment of this liabUity, but it remains unpaid. Therefore, <br />there is a lien in favor of the United States on all property and rights to <br />property beloncing to this taXPayer for the amount of these taxes, and <br />additional penalties, interest, and costs that niay acerue. <br /> <br />Name of Taxpayer EDWARD D SABATKA <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />I' <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 rafiled by tha data given in column (a), this notica shall, <br />on tha day following such date, operata as a certificate of release as defined <br />in IRC 6325(a). - <br /> <br />Kind of Tax <br />a <br />941 <br /> <br />Tax Period <br />Ending <br />b) <br />'03/31/2006 <br /> <br />Identifying Number <br />c <br />48-0844616 <br /> <br />Date of <br />Assessment <br />d <br />07/03/2006 <br /> <br />Last Dq for <br />Refiling <br />e)' <br />08/02/2016 <br /> <br />Unpaid Balance <br />of ,Assessment <br />(I) <br />19946.00 <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 />19946.00 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />lOth day of August <br /> <br />2006 <br /> <br />Signature <br /> <br />Title <br />REVENUE OFFICER <br />for PAT KELLOGG (308) 384-4850 <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 />. P..... 1 _ K_t Bv Recordlnlr Office CAT. 'NO 60025X <br /> <br /> <br />24-10-2341 <br /> <br />ND <br />\' <br />~ <br />