Laserfiche WebLink
<br />09/11/2007 ~UE 15:38 <br /> <br />Ol:b <br /> <br />FAX 402 471 4429 UCC SECRE~ARY OF S~A~E ~~~ Hall <br /> <br />121003/007 <br /> <br />1924 <br /> <br />Form 668 (Y)(c) <br />(Rev. February 20041 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />, Lien Unit Phone: (800) 829-3903 388019407 <br /> <br />As provided by section 632t, 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 liability, but it remains unpaid. Therefore, <br />there Is a 6en 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 costs that may accrue. <br /> <br />Name of Taxpayer JOEL B & JANELL K SHAFER <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />9907524975-9 Pss: 1 <br />SHAFER JOEL B <br />Filed: 09/11/2007 09:22 ~ <br /> <br />Residence <br /> <br />66 PONDEROSA.DR <br />GRANO ISLAND, NE 68803-9673 <br /> <br />200707850 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (a), 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 />a <br />1040 <br /> <br /> <br />Tax Period <br />Ending <br />b <br />12/31/2001 <br /> <br />Identifying Number <br />c <br />XXX-XX-0675 <br /> <br />Date of <br />Assessment <br />Cd <br />12/09/2002 <br /> <br />Last Day for <br />Refillnl' <br />e <br />01/08/2013 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />2326.82 <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 />2326.82 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />30th day of Augus t <br /> <br />2007 <br /> <br />the <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 ot Federal Tax lien QJ <br />Rev. Ru!' 71-466,1971 .2 C.B. 409) ,Form 668(Y)(c) (Rev. 2-2004) <br />P3l1: . . Kepc By Recording Office CAT., NO 60025X \ <br />. - \ <br />