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<br />11/06/2007 TUE 15:28 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1dI004/005 <br /> <br />.~ <br />o <br /> <br />Form 668 (Y)(c) <br />tRev. February 2004) <br /> <br />1924 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200709520 <br /> <br />Area: Serial Number <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 400301507 <br /> <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are givin, 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 lien in favor of the United States on all property and rights to <br />property beloncina to this taxPayer for the amount of these taxes,. and <br />additional penaltle$, interest, and costs that may accrue. <br /> <br />Name of Taxpayer ELIZABETH LOYA <br /> <br />For Optional Use by Recording 'Office <br /> <br /> <br />9987532620-8 PSI: 1 <br />LOYA ELIZABETH <br />Filed: 1110612007 10:11 AM <br /> <br />Residence <br /> <br />307 2ND ST 4 <br />GRAND ISLAND, NE 68801 <br /> <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, opei'ateas a. certificate of release .as defined <br />in IRC' 6325(a). <br /> <br />" <br /> <br />KJnd of Tax <br />a) <br />1040 <br />1040 <br /> <br />Tax Period <br />Ending <br />(b <br />12/31/2001 <br />12/31/2002 <br /> <br />Identifying Number <br />(c) <br />XXX-XX-8804 <br />XXX-XX-8804 <br /> <br />Date of <br />Assessment <br />d <br />03/14/2005 <br />03/14/2005 <br /> <br />Last Day for <br />RefiUnl <br />e <br />04/13/2015 <br />04/13/2015 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />4104.46 <br />10125.54 <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 16.92 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />14230.00 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />25th 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 .N"\J <br />Rev. Rul. 71466,1971 - 2 C.B. 409) . . Form 66B(Y)(c) (Rev. 2-2004) \" <br />Part 1 ~ Kept By Recordbll Office CAT. NO 60025X <br />