Laserfiche WebLink
<br />03/18/2009 WED 14:30 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~004/010 <br /> <br />~ <br /> <br />8801 <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 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #5 <br />Lien Unit Phone: (800) 913-6050 523631109 <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 ior 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 MICHAEL L ANDERSON <br /> <br />For Optional Use by Recording Office <br /> <br />II1IInf II In~ I' <br /> <br />9909590438-5 ~9S: 1 <br />ANDERSON MICHAEL L <br />Filed: 03/18/2009 01:20 ~M <br /> <br />200901966 <br /> <br />Residence <br /> <br />2124 LAWRENCE LANE APT 303 <br />GRAND ISLAND, NE 68803 <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(a). . <br /> <br />Kind of Tax <br />(a) <br />1040 <br />1040 <br />1040 <br />1040 <br />1040 <br />1040 <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2001 <br />12/31/2002 <br />12/31/2003 <br />12/31/2004 <br />12/31/2005 <br />12/31/2006 <br />12/31/2007 <br /> <br />Identifying Number <br />(c) <br />XXX-XX-2202 <br />XXX-XX-2202 <br />XXX-XX-2202 <br />XXX-XX-2202 <br />XXX-XX-2202 <br />XXX-XX-2202 <br />XXX-XX-2202 <br /> <br />Date of <br />Assessment <br />(d) <br />06/06/2005 <br />10/13/2008 <br />07/28/2008 <br />10/20/2008 <br />10/06/2008 <br />10/06/2008 <br />10/06/2008 <br /> <br />Last Day for <br />Retiling <br />(e) <br />07/06/2015 <br />11/12/2018 <br />08/27/2018 <br />11/19/2018 <br />11/05/2018 <br />11/05/2018 <br />11/05/2018 <br /> <br />Unpaid Balance <br />of Assessment <br />(0 <br />6006.46 <br />15603.01 <br />9746.69 <br />21927.43 <br />6145.68 <br />20532.90 <br />9540.92 <br /> <br />. <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 />89503.09 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />10th day of March <br /> <br />2009 <br /> <br />Signature <br /> <br />Title <br />REVENUE OFFICER <br />for JOHN HUNTER (404) 338-9268 <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) Form 668(Y)(c) (Rev. 2-2004) <br />Part 1 . Kept By Recording Office CAT. NO 60025X <br /> <br /> <br />25-15-3949 <br /> <br />v <br />