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<br />04/16/2007 MON 15:25 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~002/004 <br /> <br />fl <br />IV <br />o <br /> <br />12414 <br /> <br />Form 668 (Y)(c) <br />IRev, February 2004) <br /> <br />Department of the Treasury ~ Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />200703057 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829-3903 355721507 <br /> <br />As provided by section 632 t, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (Including interest and penal~ies) <br />- have been assessed against. 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 the amount of these taxes, and <br />additional penalties, interest, and cosu that may accrue. <br /> <br />Name of Taxpayer ROGER W POP PERT <br /> <br />For Optional Use by ,Recording Office <br /> <br />IlnlI ~ IInl' II <br /> <br /> <br />9907505488-3 Pgs: 1 <br />paPPERT ROGER W <br />Filed, 04/16/2007 02:48 PM <br /> <br />Residence <br /> <br />180 RIDGE RD <br />GRAND ISLAND, NE 68801-9387 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is reflled 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 IRC 6325(a), <br /> <br />Kind of Tax: <br />(a) <br />1040 <br />1040 <br /> <br />Tax: Period <br />Ending <br />(b) <br />12/31/2001 <br />12/31/2002 <br /> <br />Identifying Number <br />(c) <br />XXX-XX-0527 <br />XXX-XX-0527 <br /> <br />Date of <br />Assessment <br />Cd) <br />07/24/2006 <br />07/24/2006 <br /> <br />Last Day for <br />Retiling <br />(e) <br />08/23/2016 <br />08/23/2016 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />33284.75 <br />10031.63 <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />43316.38 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />03rd day of April <br /> <br />2007 <br /> <br />Signature <br /> <br /> <br />Title <br />ACS <br />(800) 829-3903 <br /> <br />24-00-0008 <br /> <br />for REGINA OWENS <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Ru!. 71-466. 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004) <br />Part 1 - Kept By Recording Office CAT. NO 60025X Y <br />