200904285 - Laserfiche WebLink

Browse

06/01/2009 MON 10:35 FAX 402 471 4424 UCC SECRETARY OF STATE ~yy Hall Form 668 Y c ( )( ) -- (Rev. February 2004) 801 Department of the Treasury -Internal Revenue Service Notice:}.af Federal Tax .lien X002/004 Area: Serial Number For Optipnal Use by Recordin Office SMALL BUSINESS/5ELF EMPLOYED AREA #4 Lien Unit Phone: (B00) 913-6050 549596709 As provided by section 6321, 6322, and 6323 of the Internal Revenue "" ~•° °s 5~•t• ~-ham a a•,• - "~~ Fn Code, we are giving a notice that taxes (including interest and penalties) • have been assessed against the following-named taxpayer. We have made a demand for payment of this liability, but it remains unpaid. Therefore, there is a lien in favor of the United States on all property and rights to property belonging to this taxpayer for the amount of these taxes, and ssesssstas-g pgs; , additional penalties, interest, and Costs that may accrue. F~edR 0880 /2009 09:13 AM Name of Taxpayer ERRY M WEEDER Residence 1605 N LAFAYETTE AVE GRAND ISLAND, NE 68803-2649 2 0 0 9 0~ 2 s 5 IMPORTANT R~L~ASE INFORMATION: For each assessment listed below, unless notice of the lien is refiled by the date given in column (e), this notice shall, on the day following such date, operate as a certificate of release as defined in IRC B325(a). Tax Period Date of . Last D .far unpaid Balance Kind of Tax i'.nding Identiifying Number Assessment Ref~ng of Assessment (a) b c) d) (e) 1040 12/31/2000 XXX-X~-9875 01/08/2007 02/07/201.7 604.46 1040 - 12/31/2002 XXX-XX-9875 02/05/2007 03/07/201.7 1659.73 1040 12/31/2003 Xxx-XX-9875 08/21/2006 09/20/2016 2625.94 Place of Filing Register of Deeds Hall POSOX 1692 Grand Island, NE 68802-1692 Total ~$ 4890.1,3 This notice was prepared and signed at the 19th day of May CHICAGO, TL 2009 on this, Signature ~ A ~~j~-Q,~ REVENUE OFFICER 24-10-1,720 for DANIELLE L MUELLER (402) 437-5462 x2912 (NOTI~: Certificate of officer euthofized by law to take acknowledgment is not essential tv the validity of Notice of Federal Tax lien .... j_ :•,r;x;.,;•;..,•..,Rgv. Rul. 71-486, 1971 - 2 C.B. 409) ..,::~:..: _.. _ orm e(lf)(t) {Rev. 2 2004 ~•: > - = ~. = ..-_.. - Part l - Ketat BV ReCOrdirsr ~fflc2. - - ::,... r.ni• nin ~nn~w .. _ ..