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<br />01/10/2007 17:39 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />rlI 007/007 <br /> <br />~' <br /> <br />) Form 668 (y)(t) , <br />(Rev. Febl\JlIry 20041 <br /> <br />1671 <br /> <br />Department of the Treasury ~ Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200700289 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 _ 328984306 <br /> <br />As provided by section 632 tl 63221 and 6323 of the Internal Revenue <br />Codel 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 liabiUtyl but it remains unpaid. Thereforel <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, an~ <br />additional penalties, interest, and costs that may accrue. <br /> <br />Name of Taxpayer JAMES K KEESHAN <br /> <br />For Optional Use b Recording Office <br /> <br /> <br />PilI: <br /> <br />Residence <br /> <br />110 W 2ND ST . <br />GRAND ISLAND, NE 68801-5906 <br /> <br />IMPORTANT RELEASE INFORMAnOH: 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 />941 <br />941 <br /> <br />Tax Period <br />Endins <br />b <br />03/31/2006 <br />06/30/2006 <br /> <br />Identifying Number <br />c <br />47-0767239 <br />47-0767239 <br /> <br />Date of <br />Assessment <br />(d <br />10/09/2006 <br />10/09/2006 <br /> <br />Last Day for <br />RefiUng <br />(e <br />11/0S/2016 <br />11/0S/2016 <br /> <br />Unpaid Balance <br />of Assessment <br />o <br />2410.15 <br />2073.94 <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68S02-1692 <br /> <br />Total $ <br /> <br />4484.09 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />16 th day of November <br /> <br />2006 <br /> <br />Signature <br /> <br /> <br />Title <br />REVENUE OFFICER <br />(30S) 384-4S50 <br /> <br />24-10-2339 <br /> <br />for KAY PONTE <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. 2.20041 <br />D..... oj _ lC....t Bv Recording Office CAT. NO 60025X <br /> <br />v <br />