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<br />10/03/2006 16:36 FAX 14024714~29 <br /> <br />'200608913 <br /> <br />IaI 007/009 <br /> <br />NEBRASKA Dee <br /> <br />)t <br /> <br />1075 <br /> <br />Department of the Treasury - Internal Revenue Service <br />. Notice of Federal Tax Lien <br /> <br />Form 668 (Y)(c) <br />(Rev" FebnJllry 2004) <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien UnIt Phone: (800) 913-6050 318210306 <br /> <br />A5 provided by sedion 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are. givinl 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 h remains unpaid. Therefore, <br />then 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 that may accrue. <br /> <br />Name of Taxpayer ROGER L JONES <br /> <br />For Optional Use by Recording Offioe <br /> <br />III Illf IlnlI 11\\\\\I\~\Il\\1 <br /> <br />99111647340%-2 PIIS.' 1 <br />JONES ROGER L <br />Fil.d; 10/03/2006 03;00 PM <br /> <br />Residence <br /> <br />1205 CEDAR RIDGE COURT <br />GRAND ISLAND, NE 68803-qOOO <br /> <br />IMPORTANT RELEASE INFORMATI.ON: For each a9sessment 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 IRe 6325(a). <br /> <br />Kind of Tax: <br />(a) <br />1040 <br /> <br />Tax Period <br />Ending <br />, (b) <br />12/31/2002 <br /> <br />Identifying Number <br />(c) <br />XXX-XX-7821 <br /> <br />Date of <br />Assessment <br />(d) <br />OS/23/2005 <br /> <br />Last Day for <br />Refilln. <br />(e) <br />06/22/2015 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />236477.97 <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 />236477..97 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />21st day of <br /> <br />September 2006 <br />, <br /> <br />Signature <br /> <br />Title <br />REVENUE OFFICER <br />for MICHAEL W PONTE (308) 384-4850 <br /> <br />(NOTE: Certificate at officer authorized by law to take aoknowledgment is not essential to the velidity of Notice of Federal TllX lien <br />RCJI/. Rut. 71-466.1971 .2 C.B. 4091 Form 66B(Y)(C) (Rev. 2-2004) <br />Part 1 - Keot Bv RecordbtK Offtce rAT Nn "nn?R)( <br /> <br /> <br />24-10-2337 <br /> <br />r~\ <br />~\ ) <br />\J ." <br />