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<br />09/20/2007 THU 15:13 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />oi <br /> <br />Form 668 (Y)(C), <br />(Rev. Febrnary 20041 <br /> <br />4653 <br /> <br />1aJ002/003 <br /> <br />Department of the Treasury - Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />200708140 <br /> <br />For Optional Use hy Recording Office <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #~ <br />Lien Unit Phone: (800) 913-6050 3'90389107 <br /> <br />As provided by section 6]21, 6]22, '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, but it remains unpaid. Therefor" <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 />additional penalties,. interest, and costs that may accrue. <br /> <br />Name of Taxpayer DAVE JANOVEC <br /> <br />Residence <br /> <br />. <br /> <br />644 S LOCUST ST <br />GRAND ISLAND, NE 68801~6700 <br /> <br />111"'11 <br /> <br /> <br />Fi~~C0~VE PSI, 1 <br />'. 20/2007 01, 43 p,. <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in 'column (el, 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 />940 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 . <br /> <br />Place of Filing <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2005 <br />06/30/2005 <br />09/30/2005 <br />12/31/2005 <br />03/31/2006 <br />06/30/2006 <br />.09/30/2006 <br />12/31/2006 <br />03/31/2007 <br />06/30/2007 <br /> <br />Date of <br />Assessment <br />(d) <br />08/27/2007 <br />08/27/2007 <br />08/27/2007 <br />08/27/2007 <br />08/27/2007 <br />08/27/2007 <br />. 08/27/2007 <br />08/27/2007 <br />08/27/2007 <br />08/27/2007 <br /> <br />Identifying Number <br />(c) <br />91-1762829 <br />91-1762829 <br />91-1762829 <br />91-1762829 <br />91~1762829 <br />91-1762829 <br />91-1762829 <br />91-1762829 <br />91-1762829 <br />91-1762829 <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 />8T PAUL, MN <br /> <br />, on this, <br /> <br />the :LOth day of. September, 2007 <br /> <br />Signature <br /> <br /> <br />Last Day for <br />Refiling <br />eel <br />09/26/2017 <br />09/26/2017 <br />09/26/2017 <br />09/26/2017 <br />09/26/2017 <br />09/26/2017 <br />09/26/2017 <br />09/26/2017 <br />09/26/2017 <br />09/26/2017 <br /> <br />Unpaid Balance <br />. of Assessment <br />(f) <br />1423.57 <br />10837.42 <br />13390.49 <br />11136.46 <br />10150.69 <br />9656.15 <br />9700.85 <br />8950.24 <br />7722.83 <br />5131.93 <br /> <br />Total $ <br /> <br />88100.63 <br /> <br />Title <br />REVENUE OFFICER <br />(308) 384-4;850 <br /> <br />24-10-2341 <br /> <br />for PAT KELLOGG <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. Rl!I. 71-466,1971 .2 C.B. 4091 <br /> <br />Part 1 - Kept By Recording Office <br /> <br />Form 66f)(Y)(c) (Rev. 2-20041 <br />CAT. NO 60025X <br /> <br />v--" <br />