Laserfiche WebLink
<br />09/20/2007 THU 15:13 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1410031003 <br /> <br />~ <br /> <br />- b 'Form 668 (Y)(C) <br />(Rev. February 2004) <br /> <br />4653, <br /> <br />Department of the Treasury - Internal Revenue Service <br /> <br />Notice of Federal Tax Uen <br /> <br />.200708141 <br /> <br />Area: Seri~1 Number For Optional Use by Recording Office <br />WAGE &: INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 390688707 <br /> <br />k provided by section 632., 6322, and 6323 of Che Internal Revenue <br />Code, we are giving a notice chac taxes (inclUding inceresc and penaldes) <br />have been assessed agalnst the following.named taxpayer. We have made <br />.a demand for. payment of this liability, but iC rem~ins unpaid. Therefore, <br />there is- a Hen in favor of the United 'States, on all property and rights CO <br />property belonging to this taxpayer for Che amount of these taxes, and <br />addidonal penalties, interest, and coses that may accrue. <br /> <br />Name of Taxpayer JEFFREY T CORNELIUS <br /> <br /> <br />- Residence <br /> <br />4120 MANCHESTER RD <br />GRAND ISLAND, NE 68803-1544 <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 IRe 6325(a). _ <br /> <br />Kind of Tax <br />(a) <br />1040 <br /> <br />Tax Period <br />Ending <br />b <br />12/31/2005 <br /> <br />Identifying Number <br />c) <br />XXX-XX-5877 <br /> <br />Date of <br />AssessmenC <br />(d) <br />OS/29/2006 <br /> <br />Last Day for <br />Refilmg . <br />(e) <br />06/28/2016 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />6787.46 <br /> <br />PI ace of Filing <br /> <br />Register of Deeds <br />Hall POaox 1692 . <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />6787.46 <br /> <br />This notice was prepared and signed at. <br /> <br />ST PAUL, MN <br /> <br />. on this, <br /> <br />11th day of <br /> <br />September 2007 <br />, . <br /> <br />the <br /> <br />for DEBRA K. HURST <br /> <br /> <br />Title <br />ACS <br />(800) 829-7650 <br /> <br />12-00-0000 <br /> <br />Signature <br /> <br />(NOTE: Ce'rtificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 4091 Form 668(Y)(c) (Rev. 2-20041 <br />Part 1 - Kept By Recording Office CAT. NO 60025X <br /> <br />v-. <br />