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<br />12/19/2006 10:02 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />~002 <br /> <br />\)ro <br /> <br />200611210 <br /> <br />1671 <br /> <br />Form 668 (Y)(c) <br />(Rev. Febru.ry 20041 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />Area: Serial Number <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (BOO) 829-7650 332478506 <br /> <br />AJ provided by section 632 t, 6322, and 6123 of the Internal Revenue <br />Code, we are pinK 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 Unit~ States on all property and rights to <br />property belongins to this taxpayer for the amount of these taxes, and <br />additional penakies, interest, and costs that. may accrue. <br /> <br />Name of Taxpayer ALFREDO T RAMIREZ <br /> <br />For Optional Use by Recording Office <br /> <br />1111111\1'ljl~rl <br /> <br /> <br /> <br />99064SD640-0 . pgs. 1 <br />RRM I REZ RLFREDO T . . <br />Fiied: 12/18/2006 04:00 PM <br /> <br />Residence <br /> <br />PO BOX 864 <br />GRAND ISLAND, NE 68802-0864 <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 />Cb) <br />12/31/1998 <br />12/31/2003 <br /> <br />Identifylns Number <br />_tc) <br />XXX-XX-7079 <br />XXX-XX-'7079 <br /> <br />Date of <br />Assessment <br />Cd) , <br />OS/26/2003 <br />OS/29/2006 <br /> <br />Last Day for <br />ReODns <br />(e) <br />06/25/2013 <br />06/28/2016 <br /> <br />Unpaid Balance <br />of Assessment <br />(I) <br />11304.91 <br />3502.06 <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 />14806.97 <br /> <br />This notice was prepared an~ signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />06th day of December <br /> <br />2006 <br /> <br />the <br /> <br />Signature <br /> <br />Title <br />ACS <br />for DEBRA K, HURST (800) 829-7650 <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)1\' <br />Part 1 - Keitt Bv Rec:ordinr Office "'I\T M/'\ "I"\f"\..,,,,v r t <br /> <br /> <br />12-00-0000 <br />