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<br />08/31/2006 16:20 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />~ 0021002 <br /> <br />~ <br /> <br />1872 <br /> <br />Form 668 (Y)(c) <br />IRev. February 2004) <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (BOO) 913-6050 311908006 <br /> <br />As provided by section 6321, 6,322, 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 aD property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />addidopal penalties, interest, and costs that may accrue. <br /> <br />Name of Taxpayer JAMES K KEESHAN <br /> <br />For Optional Usa by Recording Office <br /> <br /> <br />200~07827 <br /> <br />Residence <br /> <br />110 W 2ND ST <br />GRAND ISLAND, NE 68801-5906 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date giveli in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release 8S defined <br />in IRC 6325(a). <br /> <br />Kind of Tax <br />'a <br />941 <br />941 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2004 <br />09/30/2005 <br /> <br />Identifying Number <br />(c <br />47-0767239 <br />47-0767239 <br /> <br />Date of <br />Assessment <br />d' <br />04/03/2006 <br />-04/03/2006 <br /> <br />Last Day for <br />Refiling <br />e <br />05/03/2016 <br />05/03/2016 <br /> <br />Unpaid Balance . <br />of Assessment <br /> <br />2799.98 <br />4178.41 <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 />6978.39 <br /> <br />This notice was prepared and signed at, <br /> <br />ST PAUL, MN <br /> <br />, on this, , <br /> <br />22nd day of August <br /> <br />2006 <br /> <br />the <br /> <br />Signature <br /> <br />Title <br />REVENUE OFFICER <br />for KAY PONTE (30B) 384-4850 <br /> <br />(NOTE: Certificate of officer llIuthorized by law to take acknowledgment is not essential to tha validity of Notice of Federal Tax lien <br />Rev. Ru!. 71-466, 1971 "2 C.B. 409) Form 66B(Y)(c) (Rev. 2-20041 <br />Part t ~ KN'lt Bv Recominlt Office "^T "", ",nn?",y <br /> <br /> <br />24-10-2339 <br /> <br />u\ <br />