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<br />06/26/2007 TUE 16:01 <br /> <br /> <br />. &Form 668 (Y)(<) <br />(Rev. February 20041 <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~002/002 <br /> <br />3464 <br /> <br />Department of the Treasury - Internal Revenue Service <br />. Notice of Federal Tax Lien <br /> <br />~00705386 <br /> <br />Area: <br />'H"WAGli:""&' 'rNVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 .371868607 <br /> <br />As provided by section 6321, 6322, 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 following-named taxpayer. We have made <br />a demand for payment of this liability, buc it remains unpaid. Therefore, <br />there is a lien in favor of the United States on all property and rights Co <br />property beionaing to _ this ~payer for the amount of chese taxes, and <br />additional i)enalties, interest, and costs that may accrue. <br /> <br />Name of Taxpayer ALFRED W OTTO <br /> <br />Serial Number , <br /> <br />For Optional Use by Recording Office <br /> <br />III[llI~lllr "In <br /> <br />9907515163-7 Pgs' 1 <br />OTTO Al.FRED W <br />Filed: 06/26/2007 11:03 AM <br /> <br />Residence <br /> <br />407 W KOENIG ST APT 2 <br />GRAND ISLAND, NE 68801-6~85 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled 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 IRe 6325(a). ' <br /> <br />lOnd of Tax <br />(a) <br />1040' <br />1040 <br />1040 <br />1040 <br />1040 <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2003 <br />12/31/2003 <br />12/31/2004 <br />12/31/2004 <br />12/31/2005 <br />12/31/2005 <br /> <br />Identifying N.umber <br />(c <br />XXX-XX-0114 <br />XXX-XX-0114 <br />XXX-XX-0114 <br />XXX-XX,-0114 <br />XXX-XX-0114 <br />XXX-XX-0114 <br /> <br />Date of . <br />Assessment . <br />d <br />04/15/200-4 <br />12/04/2006 <br />04/15/2005 <br />12/04/2006 <br />04/15/2006' <br />12/04/2006 <br /> <br />Last Day for <br />Refiling <br />e <br />05/15/2014 <br />01/03/2017 <br />05/15/2015 <br />01/03/2017 <br />05/15/2016 <br />01/03/2017 <br /> <br />Unpaid Balance <br />of Assessment <br />f <br /> <br />2172.79 <br /> <br />5475.79 <br /> <br />4035.92 <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 />11684.50 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />15th day of June <br /> <br />2007 <br /> <br />Signature <br /> <br /> <br />Title <br />ACS <br />(800) 829-7650 <br /> <br />12-00-0000 <br /> <br />for DEBRA K. HURST <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is riot essential to the validity of Notice of Federal Tax lien . <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) <br /> <br />Part . . Kept By RecordlDg Ofl1ce <br /> <br />Forrp668(Y)(c) (Rev. 2-20041 <br />CAT. NO 60025X <br /> <br />'/---'- <br />