Laserfiche WebLink
06I28/2011 TUE 15:11 FAX 402 471 4429 UCC SBCRETARY OF STATE �-�y Hall <br />�� Form 668 (Y)(t) <br />IRev. February 2004) <br />�joo�/o06 <br />592 <br />Departrnent ot the Treasury - tnternal Revenue Service <br />Notice of Federal Ta�c Lien 2 0110 4 8:� 3 <br />Area: � Serial Number <br />SMALL BOSINFSS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (S00) 829-3903 794977011 <br />As provlded by section 6321, 6322, an� b323 of the Internal Revenue <br />Codc, we are g3niing a notice that taxes (including interest and penalties) <br />have been ass�s�l against the foilowing-nam� taapayer. We have made <br />a demand far payment of this liab�ity, but it re�ins unpaid. Therefore, <br />t�ere is a lien in favar of the United States on all property and rights to <br />proper�ty belonging to this taxpayer for t6e amount of these taxes, and <br />addit�oaal penaldes, Interest, and c�ts t�at tnay accrue. <br />of Taxpayer. <br />Residencs 1119 S EDDY ST <br />GRAND TSLAND, NE 68801-6738 <br />For Optlonal Use by Rscording OH'ica <br />NE Sec ei Stale John R tia/e - U[C FTL <br />9931685185-3 Pes: 1 <br />BERMUDQ CRRLOS <br />Filad: 06/28/2011 11:28 AP1 <br />1MPORTANT RELEASE INFORMAT[OI�I Far each assessmerrt fisted balow, <br />uniess 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(al. <br />Tax Periad Date oF last D�a�y for <br />Kind of Tax Endi�g ldentifjrtng �lumber Assessment Refiling <br />1040 I12/31/2009i XX�C-XX-4796 �05/24/2010! 06/23/2020 <br />Place of Filing <br />llnpa�d Balance <br />of Auessmeet <br />r <br />3833.42 <br />Register of Deeds <br />Ha11 POBOX 1692 <br />Grand Island, NE 68 802-169 2 <br />Total �$ 3$ 3 3. 4 2 <br />This notice was prepared and signed at �I�GO, IL , on this, <br />the 21st day of J� e 2011 <br />Signature Title <br />�� ACS SBSE 24-00-0008 <br />tor MICHAEL W. COX (800) 829-3903 � <br />(1�IOTE: Certificate of officer authorized by taw to teke acknowledgment is not essential to the validity of Notice of Federal Tex lien <br />Rev. Rul. 71-468, 1971 - 2 C.B. 409) Form 668(n(c) (Rav. 2-2Q041 <br />Part 1- K�t By► Racorsling Offic� CAT. NO 60025X <br />Y" ; <br />