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<br />08/08/2007 WED 15:45 <br />Uf4 <br /> <br />o Form 668 (Y)(c) <br />IRev.. February 20041 <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br />3464 <br /> <br />~003/004 <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: (BOO) 829-7650 <br /> <br />Serial Number <br /> <br />380748207 <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 penaldes) <br />have been assessed against the following-named taxpayer. We have made <br />a demand for payment of this liabDity, but it remains unpaid. Therefore, <br />there is a li~n in favor of die United States on all property a,nd 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 ANDREW .J HIGHTOWER <br /> <br />Residence <br /> <br />8 VENUS ST <br />ALDA, NE 68810-9744 <br /> <br />IMPORTANT RELEASE I"FORMATlON: 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 />Kind of Tax <br />(~) <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2002 <br /> <br />Identifying Number. <br />(c) <br />XXX-XX-4966 <br /> <br />Date of <br />Assessment <br />(d) <br />08/28/2006 <br /> <br />Last Day for <br />RetiUng <br />(e) <br />09/27/2016 <br />. <br /> <br />Unpaid Balance <br />of Assessment . <br />(I) <br />5277.02 <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 />I 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 />For Optional Use by Recording QNice <br /> <br />11~[llllllrnr~r <br /> <br />9907520riS2-2 Pes. 1 <br />HIGHTOWER ANDREW J . <br />Filed: 08/08/2007 02:28.PM <br /> <br />200706793 <br /> <br />Total $ <br /> <br />5277.02 <br /> <br />12-00-0000 <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax Hen <br />Rev. Ruf. 71-466.1971 . 2e.S. 409) Form 668(Y)(c) (Rev. 2-2004) <br />Part 1 - Kept By Recording Office CAT. NO 60025X <br /> <br />v- <br />