Laserfiche WebLink
01/22/20].0 FRI 14:23 F,AX 402 471 4429 UCC SECRETARY OF STATE ~~~ H~11 <br />Form 666 (Y)(c) <br />fRev_ February 2004) <br />fdloa~/ao4 <br /> <br />Department of the Treasury -Internal Revenue Service <br />Notice of Fedeiral Tax Lien z 010 0 0 4 9~ <br />Area: Serial Number For Optional Use by Recording Office <br />SMALL 13USTNE$9/SET,F EMPLOYED AR1aA #4 <br />Lien Unit Phone: (800) 913-G050 6160fi4710 <br />As provided by section X321, 6322, and b323 of the Internal Revenue <br />[ode, we are giving a natice that taxes (including interest and penalties) <br />have been assessed against the following-named taxpayer. We have made <br />a demand far payment of .this liability, but it remains unpaid. Therefore, <br />there is a lien in favor of the United States an all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and casts that may accrue. <br />Name of Taxpayer JAN-MrKEL T GRANDON & GINNY FRIFiSFN <br />Residence 32y MALLARD LN <br />GRAND ISLAND, NE 68801--8544 <br />IMPORTANT RELEASE INFORMATION:1=or each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (el, this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />T P <br /> <br />Kind of Tax ax enod <br />Ending <br />Identifying Number Date of <br />Assessment last Dayy for <br />Refi[ing <br />a) b) c) (d) e <br />].040 12/31/2005 XXX-XX-3835 06/25/2007 07/25/2017 <br />1040 12/31/2007 XXX-XX-3835 05/26/2008 06/25/2018 <br /> <br />P{ace of Piling <br />Register of Deeds <br />Hall POBOX 1692 Total $ <br />Gx'and Island, NE 68802-1592 <br />Unpaid Balance <br />of Assessment <br />6312.43 <br />2691.12 <br />9003.55 <br />This notice was prepared and signed at CHICpaGOr IL. <br />the 13th day of January 2010 <br />Signature ~ A. <br />for DANIELLE L MUELLER <br />Title <br />REVENUE OFFICER 24-10-1720 <br />(402} 473-4575 x2912 <br />on this, <br />tir~.n a: 4ertmcsta o, officer authorized by law to take acknowledgment is not essential to the validity pf Notice of Federal Tax lien <br />Rev. Rul. 71.466, 1971 • 2 C.B. 409) <br />Part 1 -Kept iiy Recording Offlte Form 6681;X)(c) (Rev. 2-2004) <br />CAT. NQ 60025X <br />X11 du 01A2~2010 ~ res. 1 <br />10:58 RM <br />