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<br />01/05/2007 17:14 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />IgJ 002/006 <br /> <br />90 <br />0.\ <br /> <br />12479 <br /> <br />Form 668 (Y)(c) <br />(Rav. February 2004) <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200700157' <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (BOO) 829-3903 331432006 <br /> <br />As provided by section 632', 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />bave 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 /> <br />Name of Taxpayer JUDITH A RASMUSSEN <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />PTL <br /> <br />9907488311-8 PllS: 1 <br />RRSMUSSEN JUDITH R <br />Filed, 0110S/2007 10:33 RM <br /> <br />Residence <br /> <br />PO BOX 811 <br />GRAND ISLAND, NE 68802-0811 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date 9ivell 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 />b <br />12/31/2003' <br />12/31/2004 <br /> <br />Identifying Number <br />(c) <br />XXX-XX-7425 <br />XXX-XX-7425 <br /> <br />Date of <br />Assessment <br />(d) <br />08/08/2005 <br />12/12/2005 <br /> <br />Last Day for <br />Rellling <br />(e) <br />09/07/2015 <br />01/11/2016 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />1095.38 <br />5461.92 <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 />6557.30 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />30th day of November <br /> <br />2006 <br /> <br />the <br /> <br />Signature <br /> <br />Title <br />ACS <br />for REGINA OWENS (800) 829-3903 <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tex lien <br />Rev. Ru!. 71.466, 1971 - 2 C.B. 409) Form 66B(Y)(e) (Rev, 2-2004) rJ0 <br />Part 1 . Kept By Recordlnr Offlce CAT. NO 60025X \ tJ <br />'..,... <br /> <br /> <br />24-00-0008 <br />