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<br />08/08/2007 WED 15:45 <br /> <br />Qb <br /> <br />Fonn 668 (Y)(c) <br />!Rev. Febluary 2004) <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br />3464 <br /> <br />1dJ002/004 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />Area: Serial Number <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7"650 380746807 <br /> <br />As provided by section 6321, 6322, and 6323, of ~he Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been aS$essed against the foUowing-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 &axes, and <br />additional penalties, interest, and costs that may accrue. <br /> <br />Name of Taxpayer VICTOR L JACINTO <br /> <br />Residence <br /> <br />304 E 18TH ST <br />GRAND ISLAND, NE 68801-2487 <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 IRC 6325(8). <br /> <br />For Optional Use by Recording Office <br /> <br />Ni: Su Dr Sht. John R a.'e . UC:C: I'TL <br /> <br /> <br />9907521581-0 Pes: 1 <br />JACINTO VIcTOR L <br />Fil.d: 08/08/2007 02:29 PM <br /> <br />200706792 <br /> <br /> Tax Period Date Of Last Dal. for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment 'Refi mg' , of Assessment <br />a (b) (c) d (e) <br />1040 12/31/2001 XXX-XX-7469 09/04/2006 10/04/2016 10793.83 <br />1040 12/31/2002 XXX-XX-7469 09/04/2006 10104/2016 4296.75 <br /> <br />Place of Filing <br /> <br />Register of DeedS <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> <br />- This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />26th day of July <br /> <br />2007. <br /> <br />Signature <br /> <br /> <br />Title <br />ACS <br />(800) 829-7650 <br /> <br />for DEBRA'K. HURST <br /> <br />Total $ <br /> <br />15090.58 <br /> <br />12-00-0000 <br /> <br />Pan . - Kept By Recordinl Office <br /> <br />(NOTE: Certificate of officer authorized bV law to take acknowledgment is not essential to the validity of Notice of Federal Tax Iie'n <br />Rev. Rul. 71-466,1971 - 2 C.B. 4091 . <br /> <br />Form 668(Y)(c) IRev. 2-20041 <br />CAT. NO 60025X V-~- <br />