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<br />01/09/2007 TUE 16:54 FAX 402 471 2530 secofstate/licensing div <br /> <br />~ 004/006 <br /> <br />rS <br /> <br />Fonn 668 (Y)(c) <br /> <br />1075 <br /> <br />(Rev. February 2004) <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200700223 <br /> <br />Area: Serial Number <br />WAGE &: INVESTMENT 1\REA #1:2 <br />Lien Unit Phone: (800) 82~-7650 324201006 <br /> <br />As provided by section 6321, 6322, and 63'23 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 />ihere 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, ineerest, and costs that may accrue. <br /> <br />Name of TaxpByer DAVID DUOL <br /> <br />For Optional USe by Recordin Office <br /> <br />NC Set: of Sol.of::. J'D'hn I!:I a"la - uce ~?L. <br /> <br /> <br />9907489155-7 P9Si 1 <br />DUOI. DRVID <br />Filed: 11109/2007 02:50 P" <br /> <br />Residence' <br /> <br />415 S CHERRY ST APT H43 <br />GRAND ISLAND, NE 68801-1905 <br /> <br />IMPORTANT RELEASE INFORMATION: Fo~ each assessment listed below, <br />unless notice of the lien is fefiled by the date given in coli.lmn (e), this notice shall, <br />on the day following svOh date, opefate as a ceftifioate of felease' as defined <br />in lAC 6325(a). <br /> <br /> Tax Period Date of. LastDaru .for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment <br />(a) (b) (c (d) (e) (0 <br />1040 12/31/2003 XXX-XX-S928 04/15/2004 05/15/2014 <br />1040 12/31/2003 X2Q{-XX-8928 02/13/2006 03/14/2016 5453.64 <br />1040 12/31/2004 XXX-XX-8928 .04/15/2005 05/15/2015 <br />1040 l2/3l/2004 XXX-XX-8926 09/19/2005 ~0/19/2015 1471.49 <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 />6925.13 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />24th day of' October <br /> <br />2006 <br /> <br />. Signature <br /> <br />ritle <br />ACS <br />for DEBRA K. HORST (800) 829-7650 <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Fedarlll TlIx Iifln <br />Rev. Rul, 71-466,1971 - 2 C.B. 4091 . '. Form 668(Y)(c) (Rev. 2.2004) ---.\\\ <br />. Part t . K@pt By kordlng Offic:e CAT. NO 60025X (_1)...1 <br /> <br /> <br />12-00-0000 <br />