200908576 - Laserfiche WebLink

Browse

10/27/2009 TU8 15:06 FAX 402 471 4429 UCC SECRETARY OF STATE ~yy Hall Form bb8 (Y)(c) (Rev. Kebrvary 2004) 1004/009 ~2 Department of the Treasury -Internal Revenue Service 2 O 0~ O 8 5 7 s Notice of Federal Tax Lien Area; Serial Number SMALL HtJSINBSS/STEP EMPLOYED AREA #4 Lien Unit Phone: (800) 913-6050 589974609 As provided by section b3211, b322, and b323 of the Internal Revenue Cade, we are giving a notice that taxes (inchtding interest and penalties) have been axsessed against the following-named taxpayer. We have made a demand far 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 amour of these taxes, and additional penalties, interest, and costs that may accrue. Name of Taxpayer WILLIAM J JORDAN Residence 3612 E SISMARK RD GRAND ISLAND. NE 6$$01-$65$ For Optional Ilse by Recardin~ce NE SeC of Skake Jahn R 6aI^ - I1CC FT4 9909610577-4 Pgs: 1 JORORN WILLIRM J Piled: 10/27/7009 11:54 RM IMPORTANTRELEASE 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 8325(a). Tax Period Date of last Dayy for Kind of Tax Ending Identifying Number Assessment Refiling 6572 09/30/2005 XXX-XX-42DD I03/05/2007~ 04/04/2017 6672 12/31/2005 XXX-XX-4200 03/05/2007 04/04/2017 Place of Filing Unpaid Balance of Assessment 11404.93 2067.57 Register of Deeds Ha11 ]?OSOX 1692 Grand Island, NE 68802-1692 Total ~$ 13472.50 This notice was prepared .and signed at the 14th. day of October CHICAGO, IL 2009 on this, Signature ~ Title REVENUE OFFXCER 24-10-172 0 / for DANIELLE L MUELLER (402) 473-4675 x29.2 ~f (NO'rrr: Certificate of officer authorized bylaw to take acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 71-4fi6, 1971 - 2 C.B.4091 Form 6613Cif)(c) (Rev. 2-2004) .. .r_~....._..____ax......~..__ _._ .._ ______.