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02/08/2005 15:52 FA% 14024714429 NEBRASKA UCC 1]003/003 <br />200501131 <br />pq 1872 <br />Department of the Treasury - Internal Revenue Service <br />Form 668 M(c) Notice of Federal Tax Lien <br />(Rev. February 2004) <br />Area: <br />Serial Number For Optional Use by Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (651) 312 -8080 211050705 NE s.. .f si. +. - ua are <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 fonowing-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 N85377792 -8 Pss.. <br />VOJTR LEONA L <br />property belonging to this taxpayer for the amount of these taxes, and F�;>od: 0210er20e5 10:24 an <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer LEONA L VOJTA <br />Residence 15160 W BARROWS RD <br />KENESAW, NE 68956 -9603 <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 />Tax Period Date of Last Day for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refilling of Assessment <br />(a) (b) (c) (d) (e) (f) <br />1040 12/31/2002 505 -84 -0858 01/10/2005 02/09/2015 6081.97 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at ST PAUL, MN <br />the 26th day of January 2005 <br />Total 1$ <br />6081.97 <br />, on this, <br />Signature REVENUE OFFICER 29 -10 -2339 <br />for KAY PONTE (308) 384 -6667 <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 Recording Office CAT. NO 60025X <br />