Laserfiche WebLink
<br />10/05/2006 16:01 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />IgJ 0021002 <br /> <br />200608987 <br /> <br />\) <br /> <br />Form 668 (Y)(C) <br />(Rev. Februery 20041 <br /> <br />1075 <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 #5 <br />Lien Unit Phone: (BOO) 913-6050 318860206 <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 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 />Name of TaxpayerELMER F MEJIA MEJIA PEREZ <br /> <br />For Optional Use by Recording Office <br /> <br />NI ,... ~ $tAt. J..Il" " ...1. - u~c FTL <br /> <br /> <br />9906473688-6 PillI: 1 <br />MEJIR MEHIR PEREZ ELMER F <br />Filed: 18/05/2016 09:21 RM <br /> <br />Residence <br /> <br />301 E 2ND ST <br />GRAND ISLAND, NE 68801-7711 <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 rel~ase as defined <br />in IRC 6325(al. <br /> <br /> Tax Period Date of Last DarT. for Unpaid Balance <br />JQnd of Tax Ending Identifying Number Assessment Refilng of Assessment <br />(a) (b) c d) e <br />1040 12/31/2000 XXX-XX-4l20 06/28/2004 07/28/2014 465l.39 <br />1040 12/31/2001 XXX-XX-4120 05/03/2004 06/02/2014 4866.69 <br />1040 12/31/2002 XXX-XX-4l20 05/03/2004 06/02/2014 2508.97 <br />l040 12/31/2003 XXX-XX-4120 04/26/2004 OS/26/2014 777.3l <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX l692 <br />Grand Island, NE 68802-l692 <br /> <br />Total $ <br /> <br />12804.36 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />25th day of <br /> <br />September 2006 <br />, <br /> <br />Signature <br /> <br /> <br />Title <br />ACS <br />(800) 829-3903 <br /> <br />25-00-0008, <br /> <br />for THERESA HARLEY <br /> <br />(NOTE: Certificate of officer lIuthorb::ed 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 />...__ "III u__... D.. D......_......._ ~...._ <br /> <br />nD <br />