201101698 - Laserfiche WebLink

Browse

� Q3/02/2Q11 aiSD 15:11 FAx 402 471 4429 UCC SSCRETARY OF STATE �� Hall �0031005 Form 668 (Y)(c) (Rev. February 2004) Area: Seriai Number SMALL BUSINESS/SFLF EMPL4'YED AREA #4 Lien Unit Phone: .(8Q0) 913-6050 756U75011 As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are ghring a notice that taxes (including interest and penalties) have been assessed against the foUowing-named taxpayer. We have made a demand for payment of this tia6iiity, but it remains unpaid. Therefore, there is a lien� in favor of the llnited States on aii property and rights to property belonging to this taupayer for the amount of these taxes, and additional penalties, interest, and costs that may accrue. Name of Taxpayer RICHARD D FNGLUND ' Residence PO BOX 295 DONIPHAN, NS 68832-0295 IMPORTANT RELEASE INFORMATION: For each assessment Iisted betow; unless notice of the lien is r�fil� 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 6325(a). Tax Period Date of Last Da�y for Kind of Tax Ending Identifying Number Asseument Refiling Department of the Treasury - Internal Revenue Service 2 p 11016 9 8 Notice of Federal Tax Lien For 1040 12f31/2006 XXX-XX-8185 05/14/2007 06/13/2017 1040 12/31/2006 XXX-XX-8185 12/08/2008 O1/07/2019 Place of Filing Register of Deeds Ha11 POBOX 1692 Grand Island, NE 68802-1692 OffiCe — -- - ucc Fr� 552694-7 p9S: 1 ND RICHpRp D : 0 3/02/2011 f0:52 qM Unpaid Balance, of Asseument Total I $ This notice was prepared and signed at � IL the 17 day of F'' ebruary 2011 , 1293.01 , on this, Signature Tit{e ��'` REVENUF OFFICER 24-10-1720 • for DANIELLE L MU$LL (402) 473-4675 x2912 (NOTE: Certi�icate pf office� authorized by law to take acknow(edgment is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(n(t) (Rev. 2-2004) ' Part 1- Kept By Recording OfHce � CAT. NO 60025X �;. 1293.01