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<br />03/22/2007 16:02 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />~002l002 <br /> <br />~ ' <br /> <br />) Form 668 (Y)(c.) <br />(Rev, February 20041 <br /> <br />200702232 <br /> <br />12414 <br /> <br />Department of the Tre:asury ~ Internal Revenue Service <br />I <br />Notice of Federal Tax Uen <br /> <br />Area: Serial Nllmber <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800), 913-6050 ' ' 350056207 <br /> <br />As provided by section 6321, 632.2., 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 :foUowinr-named taxpayer. We have made <br />a demand for payment of this iiability, but it remains !unpaid. Therefore, <br />there is a Uen 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, interest, and costs that may accrue. <br /> <br />Name of Taxpayer JAMES K KEESHAN & LORI EPWARDSON <br /> <br />For Optional Use by RecoTdin Office <br /> <br /> <br />Residence <br /> <br />3860 W AIRPORT RD i <br />I <br />GRAND ISLAND, NE 68803-9105 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment 'iisted below, <br />unless notice of the lien is refiled, py the date given in column (e), this notice shall, <br />on the day following such - date; operate, as a certificate" pf release as defined <br />in IRC 6325(a). - , !, <br /> <br />Kind of Tax <br />a)- , <br />1040 <br /> <br />Tax Period <br />Ending <br />b) <br />12/31/2005 <br /> <br />I~entifying Number <br />I '(c <br />I <br />IXXX-XX-1420 <br />! <br /> <br />: Date of <br />Assessment <br />: (d <br />1:1/06/2006 <br /> <br />Last Day for <br />Refilmg <br />(e <br />12/0~/2016 <br /> <br />Unpaid Balance <br />of Assessment <br />o <br />i 2321.96 <br />I <br />I <br /> <br />i <br />I <br />I <br />j <br />I <br />i <br /> <br />I <br /> <br />Place of Filing <br /> <br />I <br />I <br /> <br />Regist~r of Deeds <br />Hall POBOX 1692 <br />I <br />Grand +sland, NE 68802:-1692 <br />i <br /> <br />Total $ <br /> <br />2321.96 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAULI MN <br /> <br />'f on this, <br /> <br />the <br /> <br />08 th day of March <br /> <br />2007 <br /> <br />Signa~ure <br /> <br />Title <br />REVENUE OFFICER ~4-10-2339 <br />for KAY PONTE, (308) 384-4850 I <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity ot Notice of Federal Tax lien <br />_._.~"...,..",..,..,..,.,rolll"Q\ - I <br />Form 668(Y)(c) (Rev, 2-2004) <br /> <br />