Laserfiche WebLink
<br />04/15/2009 WED 12:25 FAX 402 471 4429 UCC SBCRETARY OF STATE ~~~ Hall <br /> <br />~006/009 <br /> <br />9 <br /> <br />Form 668 (Y)(c) <br />(RllV. February 20041 <br /> <br />8801 <br /> <br />..'W~ <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200902826 <br /> <br />.,,,... <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 530326709 <br /> <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are givinl a notice that taxes (Includln,lnterest and penalties) <br />have been assessed against the followlns-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 belonling to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br /> <br />Name of Taxpayer TIMOTHY G DAUGHERTY <br /> <br />For Optional Use by Recording Office <br /> <br />1l[lnrll~ll' <br /> <br /> <br /> <br />9909S93575-8 . pgs. 1 <br />DAUGHERTY TIMOTHY G . <br />FlIed: 04/15/2009 11:01 AM <br /> <br />j.'.,.~'~ <br />. . ' <br /> <br />Residence <br /> <br />924 W 7TH ST <br />GRAND ISLAND, NE 68801-4102 <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 /> <br />Tax Period <br />Endin, <br />(b) <br />12/31/2006 <br /> <br />Idendfyin, Number <br />(c) <br />XXX-XX-4677 . <br /> <br />Date of <br />Assessment <br />Cd) <br />03/02/2009 <br /> <br />Last DaJ for <br />Refllin, <br />(e) <br />04/01/2019 <br /> <br />Unpaid Balance <br />of Assessment <br />en <br />5850.28 <br /> <br />i . <br />1," . <br />, <br /> <br />;.:''10; <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 />5850.28 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />30th day of March <br /> <br />2009 <br /> <br />Signature <br /> <br />Title <br />REVENUE OFFICER <br />for WILMA K PONTE (308) 384-4850 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice o~ Federal Tax lien C\ <br />Rev, Ru!. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2.20041(\~Y <br />. Part . - Kept By RecordlRI ORice CAT. NO 60025X \.. j. <br /> <br /> <br />24-10-1739 <br />