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200705649
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7/3/2007 4:23:10 PM
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7/3/2007 4:15:41 PM
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DEEDS
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200705649
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<br />07/03/2007 TUE 15:18 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~002/003 <br /> <br />'D~ <br />Form 668 (Y)(c) <br />IRev. February 2004) <br /> <br />3464 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />Area:-'~ --- <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 373098307 <br /> <br />As provided by section 6321, 6322, and 6323 of che Incernal Revenue <br />Code, we are giving a nodce chat 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, 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 />~dditional penalties, intere.st, and costs that may accrue. <br /> <br />Name of Taxpayer STEVEN E GOOSIC <br /> <br />---Serial Number <br /> <br />-~or"Optional-Use-bY::Hecordlng;mfice...,...._-- <br /> <br />Ilfl rill" fll II Ilfl 'I <br /> <br />9907516069-8 PS!;: 1 <br />GOOSIC STEVEN E <br />Filed: 071031200701:40 PM <br /> <br />Residence <br /> <br />218 LAKESIDE DR <br />GRAND ISLAND; NE 68801-8536 <br /> <br />200705649 <br /> <br />IMPORTANT RELEAs'E 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 IRC 6325(a). <br /> <br /> . <br /> Tax Period Date of Last Day for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Retiling of Assessment <br />(a) (b) (e) (d) (e) (I) <br />1040 12/31/2003 XXX-XX-9874 12/18/2006 01/17/2017 2860.01 <br />1040 12/31/2005 XXX-XX-9874 OS/29/2006 06/28/2016 3293.74 <br /> <br />. <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 />6153.75 <br /> <br />Thi~ notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />21st day of June <br /> <br />2007 <br /> <br />the <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 not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul..71466, 1971 - 2 C.B. 409) <br /> <br />, Part 1 ~ Kept By Recording Office <br /> <br />Form 66B(Y)(e) (Rev. 2-2004) , <br />CAT. NO 60025X <br /> <br />tL- <br />
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