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<br />03/21/2008 FRI 15:25 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1210041004 <br /> <br />oi() <br /> <br />1924 <br /> <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien 20080 2411 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829-3903 428835508 <br /> <br />As provided by section 6321, 6322, 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~ Therefore, <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 JEREMY K WIESE <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />9908552939-9 Pgs: 1 <br />WIESE JEREI'IY K <br />FlJ.d: 03/21/2008 03:02 PM <br /> <br />- Residence <br /> <br />8462 W WILDWOOD DR <br />ALDA, NE 68810-9682 <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 IRC 6325(8). <br /> <br />Kind of Tax <br />(a)' <br />1040 <br />1040 <br /> <br />Tax Period <br />Ending <br />b <br />12/31/2002 <br />12/31/2003 <br /> <br />Identifying Number <br />c <br />XXX-XX-2377 <br />XXX-.XX-2377 <br /> <br />Date of <br />Assessment <br />(d) <br />12/25/2006 <br />12/25/2006 <br /> <br />Last Day for <br />. Refiling <br />(e) <br />01/24/2Q17 <br />01/24/2017 <br /> <br />Unpaid Balance <br />of Assessment <br />(0 <br />1044.48 <br />13895.01 <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 />14939,49 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />11 th day of. March <br /> <br />2008 <br /> <br />the <br /> <br />Signature <br /> <br />Title <br />ACS <br />for REGINA OWENS (800) 829-3903 <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. Rul. 71-466,1971 - 2 C.B. 409) , Form 668(Y)(c) (Rev. 2-2004)~ <br />Part 1 . Kept By Recordinl Office CAT. NO 60025X <br />, \.. <br /> <br /> <br />24-00-0008 <br />