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<br />09/08/2006 16:20 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />1aI 003/003 <br /> <br />~ <br /> <br />1872 <br /> <br />Department of the Treasury - Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />200608071 <br /> <br />Form 668 (Y)(C) <br />(Rev. Februsry 2004) <br /> <br />Area: Serial Number <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) B29-7650 313907206 <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 liabi6ty, but it'remains unpaid. Therefore, <br />there is a lien in favor of the United States on ~II 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 acuue. <br /> <br />Name of Taxpayer MARIA L ESPINOZA <br /> <br />For Optionsl Use by Recording Office _ <br /> <br /> <br /> <br />\111111111" <br /> <br />9906469574-9 PIiIS" 1 <br />~~~;~~Z~~~~~0~6 02:36 PH <br /> <br />Residence <br /> <br />914 N LINCOLN AVE <br />GRAND ISLAND, NE 68801-4035 <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 />1040 <br /> <br />Tax Period <br />Ending <br />(bl ' <br />12/31/2002 <br />12/31/2002 <br /> <br />Identifying Number <br />(e) <br />XXX-XX-8912 <br />XXX-XX-8912 <br /> <br />Date of <br />Assessment <br />(d) <br />04/.15/2003 <br />-;1.1/01/2004 <br /> <br />Last Day for <br />Refiling <br />(e) <br />05/15/2013 <br />12/01/2014 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br /> <br />1634.33 <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 />1634.33 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />30th day of Augus t <br /> <br />2006 <br /> <br />the <br /> <br />for DEBRA K. HURST <br /> <br /> <br />Title <br />ACS <br />(BOO) 829-7650 <br /> <br />12-00-0000 <br /> <br />Signature <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. Ru!. 71-466,1971 - 2 C.B. 409) . Form 66B(Y)(C) (Rev. 2-20041 ,:.,",; <br />"...... . _ KeDt By R.ecordln, Office CAT. NO 60025X ./ <br />