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201001065
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Last modified
2/17/2010 3:57:13 PM
Creation date
2/17/2010 3:52:55 PM
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DEEDS
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201001065
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02/16/2010 TtrB 15:12 FAX 4D2 471 4429 UCC SLCRSTARX OF STATE ~~~ Ha~.l <br />346 <br />Form bb8 (Y)(t) <br />(Rev. February 2004- <br />I~-003/004 <br />Department of the Treasury -Internal Revenue Service <br />Notice of Federal Tax Lien <br />Hrea: Serial Number <br />SMALL 1BIISINESS/SELF EMPLQXED AREA #4 <br />Lien Unit Phone: (800) 913-6050 623903010 <br />As provided by section b3x 1, 632, and b323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the followingnamed 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 belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer TRAVIS K & RHpNDA S SKILES <br />Residence 4247 SPUR LN <br />GRAND ISLAND, NE 68803-2235 <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 Dayy for <br />Kind of Tax Ending Identifying Number Assessment Refiling <br />xo4o I12/31/2p051 XXX-XX--34]-0 05/29/2a06 06/28/2016 <br />Place of Filing <br />4200.18 <br />Registrar of Deeds <br />Hall. POBOX 1692 <br />Grand Island, NE 68802-1692 <br />For Ootional Use <br />Total ~$ 4200.18 <br />This notice was prepared and signed at <br />CHICAGO, IL <br />the p5fh day of February 20].0 <br />on this, <br />Signature ~ ~ ~,~~ Title <br />REVENUE OFFICER 24-10-1720 <br />for DANIELLE L MUELLER (402) 473-4675 x2912 <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) <br />Part 1 -Kept By Retarding Office Form bb8(1~(c) (Rev. 2-2004) <br />CAT. NO fi00Z6X <br />NE SrP PI 54~4~ <br />:ording pffice <br />acts: 1 <br />SKILf:S TRAMS K <br />Filed: 02/1B/20t0 10:~ A~9 <br />201001055 <br />Unpaid Balance <br />of Assessment <br />
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