Laserfiche WebLink
<br />02/23/2007 17:08 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />!gJ 003/003 <br /> <br />.~ <br /> <br />() . Form 668 (Y)(C) <br />(Rev. Februarv 20041 <br /> <br />12414 <br /> <br />Department 'of the Treasury - Internal Revenue ~ervice <br />Notice of Federal Tax: Lien <br /> <br />200701428 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 345248907 <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. Therefor~, <br />there is a Den In favor of the United States on aU 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 ULISES ACOSTA <br /> <br />For Optional Use by Recordif.lg Office <br /> <br />IIII'I 'II rI In I <br /> <br />9907497152-1 Pgs. 1 <br />ACOSTA ULISES . <br />Filed: 02/23/2007 09; 18 AM - <br /> <br />Residence <br /> <br />407 KENNEDY DR <br />GRAND ISLAND, NE 68803 <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 IRe 6325(a). <br /> <br />Kind of Tax <br />(a) <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2004 <br /> <br />Identifying Number <br />(e) <br />XXX-XX-1111 <br /> <br />Date of <br />Assessment <br />(d)' <br />02/13/2006 <br /> <br />Last Day for <br />Retiling <br />(e) <br />03/14/2016 <br /> <br />Unpaid Balance <br />of Assessment <br />CO <br />5382.37 <br /> <br />Place 0f Filing <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand'Island, NE 68802-1692 <br /> <br />Total _ $ <br /> <br />5382.37 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />12th day of February <br /> <br />2007 <br /> <br />Signature <br /> <br />Title <br />ACS <br />for R. RAY JOHNSON (800) 829-7650 <br /> <br />(NOTE: Certificate of officer authorited by law to taka acknowledgmant is not essential to the viI.Jidity of Notice of Faderal Tex lien <br />Rev. Rul: 71-466, 1971 - 2 C.B. 4091 Form 668(Y)(c) (Rev. 2-2004) r-"'\~ <br />Put 1 - Kept By Recordlnr Office CAT. NO 60025X \, ~ <br /> <br /> <br />14-00-0000 <br />