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<br />04/06/2007 15:43 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />141 004/004 <br /> <br />I <br /> <br />rlCb <br /> <br />..... <br /> <br />12414 <br /> <br />Departl')1ent of the Treasury" Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />20~702802 <br /> <br />Form 668 (Y)(c) <br />(Rev. February 20041 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit phone: (BOO) 82~-3903 354042607 <br /> <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are sMng a notice that taXes (including interest and penalties) <br />have been assessed against the following-named taXpayer. We have made <br />a demand for paym,ent of this liability, but it remains unpaid. Therefore, <br />there is a nen in favor of the United States on all pr,operty 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 JERRY L &. CAROLE L DENTON <br /> <br />For Optional Usa by Re~ordin9 Office <br /> <br />I <br /> <br /> <br /> <br /> <br />EI~ 111 'If I ~I1 r <br /> <br /> <br /> <br />9907504250-9 I PSll!: 1 <br />DENTON JERRY L I <br />Filed: 04/0612007 02:25 PM <br /> <br />Residence <br /> <br />205 S CEDAR ST <br />GRAND ISLAND, NE 68801-6501 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (el, 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 />, ! <br /> <br />Kind of Tax <br />i (a) <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2004 <br /> <br />Identifying Number <br />(c) <br />XXX-XX-3010 <br /> <br />Date of <br />Assessment <br />(d) <br />06/05/2006 <br /> <br />Last Day for <br />Refiling . <br />(e)' , <br />07/05/2016 <br /> <br />Un~aid Balance <br />of Assessment <br />i (0 <br />10140.22. <br /> <br />Place of Filing <br /> <br />Register of De~ds <br />Hall POBOX 1692 <br />, Grand Island,' NE Q8802-1692 <br /> <br />Total $ <br /> <br />! <br /> <br />!. 10140.22 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAuL, MN <br /> <br />, on this, <br /> <br />, the <br /> <br />27th day of March. <br /> <br />2007 <br /> <br />Signature <br />tor REGINA OWENS <br /> <br /> <br />Title <br />ACS <br />(800) 829-3903 <br /> <br />24-00-0008 <br /> <br />(NOTE: Certificate of offiear autho!~ed by law to take acknowledgment is not essential to the validity of Notice :of Federal Tax lien <br />Form 6~B(Y)(c) (Rev. 2-2004) <br />