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08/22/2012 WED 15:22 <br />��� <br />Forro 668 (Y)(c) <br />(Rev. February 2004) <br />FAX 402 471 4429 UCC SECRETARY OF STATE -+-+-� Hall <br />I�003/005 <br />592 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien � 0 � 2 0 6 9 7 G <br />Area: Serial Number <br />SMALL BU9INESS/SFLF EMPLOY$D AREA #4 <br />Lien Unit Phone (800) 829-3903 887031812 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (inciudiing interest and penalt�es) <br />have been auessed against the following-named taxpayer. We have made <br />a demand for payment of this IQab�lity, 6ut it remains unpaid. Therefore, <br />there is a Uen in favor of the lJnited States on all property and rights w <br />property t�longing to this taxpayer for the amount of these taxes, and <br />additionai penalties, interest, and costs that may accrue. <br />Name of Taxpayer KEVIN L. & ANITA J KREIFELS <br />Residence p0 BOX 120 <br />GRAND ISLAND, NE 68802-0120 <br />For Optional Use <br />IMPORTANT RELEASE lNFORMATION For each assessment listed below, <br />unless notice of the lien is refiled by the d'ate given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). � <br />Tax Period Date of Last D�ay for <br />Kind of Tax Ending Identifying Number Asseument Refiling <br />1040 �12/31/2009� XICX-XX-3977 �11/Ol/2010� 12/01/2020 <br />Place of Filing <br />31075.36 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total �$ 31075.36 <br />This notice was prepared and signed at � IL <br />� 09th day of August 2012 <br />, on this, <br />Signature � �� <br />� � <br />for G.J. CARTER-LOIIIS <br />Title <br />ACS SBSE <br />(800) 829-3903 <br />24-00-0008 <br />Unpaid Balance <br />of Assessment <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. 4091 Form 668(Y)(c) (Rev. 2-20041 � <br />Part t- Kept By Recording Office CAT. IVO 60025X � <br />