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<br />10/09/2007 TUE 15:30 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121004/004 <br /> <br />o.~ <br /> <br />Form 668 (Y)(C) <br />(Rev. February 2004) <br /> <br />1924 <br /> <br />Department of the Treasury - Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />200708677 <br /> <br />Area: Serial Number <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 395171807 <br /> <br />As provided by section 6321, 6322; and 6.323 of the Internal Revenue <br />Code, we are giving a nodce that taxes (indudin, interest and penalties) <br />have been assessed against the following-named taxpayer. We have made <br />a demand for payment of this Ii~bility, but it remains unpaid. Therefore, <br />there is a lien in favor of the United States on all property and rights to <br />. property belonpns t4,) this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br /> <br />Name of Taxpayer JOSEPH BIRKBY <br /> <br />For Optional Use by Recording Office <br /> <br />1IIIIIIIIlI <br /> <br />9907528836-9 PilS '1 <br />BIRl(8y JOSEPH . <br />Filed: 1e/e9/2e07 11:24 AM . <br /> <br />Residence <br /> <br />418 E 18TH ST <br />GRAND ISLAND, NE 68801-2441 <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 foliowing such date, operate as Bcertificate of release as defined <br />in IRe 6325(a). <br /> <br /> Tax Period Date of Last Dar. for Unpaid Balance <br />Kind of Tax Ending Identifying Number As$SSsment Refilng of Assessment <br />(a) (b) (c) (d) (e) (f) . <br />1040 12/31/1999: XXX-XX-5780 12/04/2006 01/03/2017 1564.44 <br />1040 12/31/2000 XXX-XX-5780 12/04/2006 01/03/2017 7916.62 <br />1040 12/31/2001 XXX-XX-5780 12/04/2006 01(03/2017 3285.78 <br />1040 12/31/2002 XXX-XX-5780 12/04/2006 01/03/2017 2644.20 <br />1040 . 12/31/2003 XXX-XX-5780 06/11/2007 07/11/2017 6505.87 <br /> <br />"--- .."....._-~-.. .._~__....m_m._. _._.__..__. 1--_........ ... ......_._~._.... ....._________...__....____ <br />__._..""'~"u,,...._~._._..__ ___n______._.________n .__...__..__..._.~~..._~""""..."".."...".."u."._....~_..__...__ _____._____.__"__n...."._., ...."'........,''','~.".._...__~_.,..."......"........_ <br />_..___..____ . _______ _. n__. ..._ <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 />21916.91 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />02nd day of October <br /> <br />2007 <br /> <br />Signature <br /> <br /> <br />Title <br />ACS <br />(800) 829-7650 <br /> <br />. 12-00- 0000 <br /> <br />for DEBRA K. HURST <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. 409) . Form 668(Y)(c) IRev. 2-2004) <br />Part 1. - Kept By Recording Office CAT. NO 60025X \f.-. <br />