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<br />03/05/2007 MON 17:09 FAX 402 471 2530 secofstate/licensing div
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<br />'~ 005/008
<br />
<br />~
<br />
<br /> 12414
<br />form 668 (Y)(c) Department of ,the Treasury - Internal Revenue Service 200701700
<br />(Rev. February 2004) Notice of Federal Tax Lien
<br />Area: ' , Serial Nurnbet For OPtional Use by Recording Office
<br />SMALL BUSINESS/SELF EMPLOYED AREA #4
<br />Lien Unit Phone: (800) 913-6050 346805107
<br />As provided by $ecti~ 6311, 6322, and 6323 of t~elnternal Revenue ~lIIl{rlfrnIII
<br />Code, we are giving a notice that ~es (including interest and penalties)
<br />, have been asseSsedagajn~ the foDowing-named taxpayer. We have made
<br />,a demand for payment of this liability, but it remains, unpaid,; Therefore,
<br />, there is a lien in favor of the Uni~ed Stati!$ on all property and rights to
<br />property belonetn8' to this taxpayer for the amount ofdteise taxes, and 990749875,1-2 P_!; 1
<br /> MATSON JRMES A '
<br />additional pelaaIties, interest, and costs that may accrue. ,,' Filed; ~$J05'2~~7 e~;24 PM
<br /> . ,
<br />Name of Taxpayer JAMES A MATSON ..
<br /> ,', :
<br /> .' , ,
<br /> .... ..
<br /> , - 0, , ,~
<br />Residence 3090 'W'2ND ST
<br /> , GRAND tSLAND. NE 68803-5264
<br /> ~ ,\-.- ',' ", .., , ' , "
<br /> . . ....... I '" .Ii"' 1...- . ,., :, ' ' ..,
<br />IMPORT~T.~L~E l~fORMATlON~For,;~ach assessmen.tJis,ted below,~' . I, " .. , ", I
<br />'. .... .. ~ :
<br />\,,,'\leS8 notice of tne hen IS'reflled by the ,date 'gl'ii'en-In 'column (8); thIS ,nqtlGB sh:'lll" .. .. , - J, , ' ..
<br /> "
<br />on the day, tolloYv'ing 'such date, . operate a$" a : certificate of release ,as' defined :', " ., . ' " ".
<br />in IRe 6326(!I)', ' ' , ' " , ,
<br />.,' .1\ , .r ., "
<br />, ,. -.
<br /> Tax Period Date of ~st D:.t for Unpaid JSalance
<br />,Kind of Tax ,Ending , " Identifying Nulliber :.Assessment ' R,," IDg~,' of AAessment "
<br />'; ,(a):, ,.:' (.b)' ' . (el . ' '.(d), (e) .' , (0
<br />,9,40 12/31/2004 81-064,026'7 , 02/20/2006 03/2i/2016 - . .... ... "
<br /> . , 133.20
<br />940 ' 12/31/2005 S'l- 0640267 10/09/2006 11/08/2016 - 397.00
<br />94'1 03/31/:2005 81-:0640267 ,12/26/2005 01/25/2016 7706.97
<br />, 941 06/30/2.005 81-0640267, 01/09/2006 ' .02/08/:2016 8462.47
<br />941 09/30/2005 81-0640267 01/02/2006 02/01/2016 6804.38
<br />941 12/31/2005 81-0640267 08/28/2006 09/27/.:20;1.6 ,6031.42
<br />941 03/31/2006 81-0640267 07/17/2006 08/16/2016 4729.06
<br />941 06/30/2006 81-0640267 10/30/2006 11/29/2016 6840.45
<br />Place of Filing
<br /> Regi$tl!!!r of Deeds
<br /> Hall POBOX 1692 Total $ 41104.95
<br /> Grand Island" NE 68802-1692
<br />
<br />This notice was prepared and signed at
<br />
<br />ST PAUL, MN
<br />
<br />. on this.
<br />
<br />the
<br />
<br />21st day of February
<br />
<br />2007
<br />
<br />Signature
<br />
<br />
<br />24~lO-2337
<br />
<br />Title
<br />REVENUE OFFICER
<br />for MICHAEL W PONTE (308) 384-4850
<br />
<br />(NOTE: Certificate of officer, authorized by law TO take acknowledgment is not essential to the validity of Notice of Fedcrlll Tax lien 1~
<br />R"v. Rul. 71-466, 1971 - 2 C.6, 40::11 " Fo(m 66Sm<,) {Rev. 2-2004} \).J
<br />Part 1 . Kept By Recording Office ' CAT, NO 60025)( ,
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