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<br />03/05/2007 MON 17:11
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<br />FAX 402 471 2530 secofstate/licensing div
<br />200701'703
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<br />~ 008/008
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<br />12414
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<br />Form 668 (Y)( ()
<br />(Re.... Februllfy 20041
<br />
<br />Department of the' Treasury. Internal Revenue Service
<br />Notice of Federal Tax Lien
<br />
<br />Area: Sari,al Number
<br />SMALL BUSINESS/SELF EMPLOYED AREA #4
<br />Lien Unit Phonll: (800) 913-6050 346904707
<br />
<br />As provided by section 6321-, 6322, and &323 of the- Internal Revenue
<br />'Code, we are giving a notice that taxes (including- interest and penalties)
<br />have been ass,essed, again$t the following-named taxpayer. We have made
<br />a demand for payment of this liability, but it remains unpaid. Therefore.
<br />there is a lien in favor'of: the United States: on all property and rights to
<br />property belonging to 'this taxpayer for tbe alJlount of th~e taxes, and
<br />additional 'penalties"'-interest, and costs that may aec;:rue.
<br />
<br />Name'ofTaxpaver,JOHN ,C & SUSAN M MEYERS
<br />
<br />For Optioflal Usa by According Officc
<br />
<br />nll~Jfllln
<br />
<br />I1EmS ,JOI'IN C ',' ,
<br />F1~eQ' ~3f~/200? ,02:24 P"
<br />
<br />Residence
<br />
<br />11070 S BUFFALO RD
<br />DONIPHAN, NE 68832-9721
<br />
<br />..
<br />
<br />-~'I, ". ."
<br />
<br />IMPORTANT RELEAS-EJNFOkMAtIO)l;;~or each ass(;i~sment listed below,';,
<br />unless ,notice otthelienis,r-efiled by the dategiveplnco~Jmn (e,. this notiCE! ShOll!."
<br />,on the day" follow.ing' such d!lte, operate as, a certificat,e of rl;lle;lse ;1$ defjn(ld l:."
<br />in IRC 6325(a).' ' " 'J
<br />
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<br /> , Tn Period Pate of Lasi D~for Un~id Balance
<br />'Ki~d,orTax, - ,Ending : : ; Id.~tifying Number, .' A$sessment Reft go" '. , of :~sment .. '" .,
<br />(al " fb) '" (e) (d) (e) , , .",'(0 '
<br />,1040- 12/31/1'997 ' , .. .,.'
<br />XXX-XX-3172 Ol./O6/2003 02/ OS/2-o;L.3' ;L.8789. 4~,
<br />1040 12/31/19.98 XXX-XX-3l72 Ol/O6/2003 02/05/2013 12769.'18"
<br />1040 12/31/1999 X;XX:-XX-31.72 12/09/2002 01/0a/2013 1520.1.17
<br />1040 12/31/2000 XXX-XX-3172 ,12/09/2002 01/0S/2,013 62.3 3 . ~,2"
<br />
<br />Place 01 Filing
<br />
<br />Register of Deeds
<br />Hall POBOX 1692
<br />Grand Island, NE 68862-1692
<br />
<br />Total $
<br />
<br />5.2993'.11
<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 />Title
<br />REVENUE OFFICEI(
<br />(308) 384-4850
<br />
<br />24-10-2337
<br />
<br />for MICHAEL W PONTE
<br />
<br />(NOTE: Certificete Of officer euthonl:ed by Iljw to'tllke acknowledgment is not essential 10 thE: validity of NOlicE: of Fed(ual Tax lien
<br />Rev. RUL 71.466, 1971 - :.2 C,B. 409) Form 668(Y)(c) (Rev, 2-2004)
<br />Part t . Kept By Recording Office CAT. NO 60025X
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