Laserfiche WebLink
<br />08/07/2008 THU 13:30 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121003/004 <br /> <br />o~ <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br /> <br />4899 <br /> <br />Department of the Treasury R Internal Revenue Service <br />Notice of Federal Tax -Lien 200806818 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 459716008 <br /> <br />As provided by section 6]21, 6]22, and 6]2] of che Incernal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the followinl'"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 Co <br />propercy belonging to this taxpayer for the amount of chese taxes, and <br />additional penalties, interesc, and costs chac may accrue. <br /> <br />Name of Taxpayer DENNIS M COLLINS <br /> <br />~ 1llllflf.ll <br /> <br />9908567874-8 Pg . 1 <br />C9LLINS DENNIS M s. <br />F1Jed: 08/07/2008 09:36 AM <br /> <br />Residence <br /> <br />1900 W PEACH CIR <br />LINCOLN, NE 68522-8719 <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 fallowing such date. operate as a certificate of release as defined <br />in IRe 6325(a). <br /> <br /> Tax Period Date of Lasc Dt; for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Kefi "g of Assessment <br />(a) (b) (c) (d) (e) (f) <br />1040 12/31/2002 XXX-XX-4730 10/23/2006 11/22/2016 10099.19 <br />1040 12/31/2003 XXX-XX-4730 11/13/2006 12/13/2016 1715.13 <br />1040 12/31/2004 XXX-XX-4730 09/18/2006 10/18/2016 1808.32 <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 />13622.64 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />/ on this. <br /> <br />28th day of July <br /> <br />2008 <br /> <br />the <br /> <br />Signature <br /> <br /> <br />Title . <br />REVENUE OFFICER <br />(319) 234-4481 <br /> <br />24-10-1782 <br /> <br />.....' <br /> <br />for STEVE MATTESON <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. Ru!' 71-466. 1971 - 2 C.B. 409) <br /> <br />Part 1 . Kept By Recording Office <br /> <br />Form 668(Y)(c) (Rev. 2-2004) <br />CAT. NO 60025X <br /> <br />y <br />