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10/26/2012 FR= 15:07 FAX 402 471 4429 UCC SECRETARY OF STATE y-+y Hall <br />Form 668 (lf)(c) <br />(Rev. February 2004) <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal �au Lien � 0� 2 0 9 0��� <br />Area: Serial fVumber For <br />SMALL BOSINESS/SF.LF ENlPI�OYED AREA #4 <br />Lien Unit Phone: {800) 913-6050 900022112 <br />As prov�ded by section 632i, b322, and 6323 of the [nternal Revenue <br />Code, we are giving a notice that taxes (b►clud�ng ieterest and penalties) I <br />have been asseu�l against the following-named taxQayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there is a lien tn favor of the llnited States on all property and rights ta <br />property belonging to this taxpayer for the amount of these taxes, and <br />additionat penatdes, interest, and cosrs that may accrue. <br />ame <br />�003/004 <br />RAFAS TACOS <br />Residence 2105 NASHVILLS ST <br />GRAND ISLAND, NE 68803-1539 <br />IMPORTANT RELEASE INfORMATION For each assessmerrt listed below, <br />unless notice of the lien is refilsd by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certlftcete of release as defined <br />in IRC 63251a?. <br />Tax Period . Date of l.ast D�a�yfor <br />Kind of Tax Ending Identifying Number Assessment Refiling <br />940 <br />940 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />Place of Filing <br />05/14/2012 <br />05/07/2012 <br />OS/21/2012 <br />05/21/2012 <br />05/21/2012 <br />05/21/2012 <br />05/14/2012 <br />05/14/2012 <br />OS/07/2012 <br />05/07/2012 <br />04/16/2012 <br />04/16/2012 <br />04/16/2012 <br />04/16/2012 <br />I �U4/16/2012 <br />12/31./2008 <br />12/31/2009 <br />03/31/2008 <br />06/30i2008 <br />09/30/2008 <br />12/31/2008 <br />03/31/2009 <br />06/30/2009 <br />09/30/2009 <br />12/31/2009 <br />03/31/2010 <br />06/30/2010 <br />U9/30/2010 <br />12/31j20Z0 <br />03/31/2011 <br />27-0018371 <br />27-0018371 <br />27-0018371 <br />27-0018371 <br />27-OO18371 <br />27-0018371 <br />27-0018371 <br />27-0018371 <br />27-0018371 <br />27-0018371 <br />27-0018371 <br />27-0018371 <br />27-0a18371 <br />27-0018371 <br />27-0018371 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-16 <br />Use bv Recordinsa Office <br />Onpa3d Balance <br />of Assessment <br />266.62 <br />164.61 <br />2455.20 <br />2569.72 <br />2733.08 <br />2475.07 <br />2433 . 7.6 <br />2085.52 <br />2203.07 <br />2118.40 <br />2275.68 <br />2230.97 <br />2007.21 <br />2308.81 <br />562.68 <br />Total ,$ 28889.80 <br />This notice was prepared and signed at <br />the 16th day of �ctober <br />CHICAGO, IL <br />, on this, <br />2oi� <br />Signature � C �� <br />� �► <br />for PATRICK J RELLOGG <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of IVotice of Federal Tax lien �� <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) lRev. 2-2004) <br />Part 1- Kept By Recording Offlce <br />Title <br />REVENUE OFFICER <br />(308) 384-4850 <br />24-10-1744 � <br />�: <br />06/13/2022 <br />06/06/2022 <br />o6/zo/aoaa <br />06/20/2022 <br />06i20/2022 <br />06/20/2022 <br />06/13/2022 <br />46/13/2022 <br />06/06/2022 <br />06/06/2022 <br />05/16/2022 <br />05/16/2022 <br />05i16i2022 <br />t�5/16/2022 <br />05/16j2022 <br />CAT. NO 60025X <br />i <br />i <br />i <br />i <br />i <br />k <br />