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Form 668 (Y)(c) <br />IRev. February 2004) <br />3592 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />906704612 <br />For Optional Use by Recording Office <br />NE <br />9912703562 <br />CASTANEDA <br />Filed: <br />See <br />1 <br />of <br />11 <br />1 <br />State <br />11 <br />-2 <br />JESUS <br />/27/2012 <br />John A Gale - UCC Fn <br />1 11111111 <br />P9 s: 1 <br />09:58 AM <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the following -named 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 JESUS CASTANEDA <br />J C WELDING <br />Residence 1116 W OKLAHOMA AVE <br />GRAND ISLAND, NE 68801 -0000 <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 releake as defined <br />in IRC 6325(a). <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Refihng <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />941 <br />941 <br />12/31/2011 <br />03/31/2012 <br />20- 3856452 <br />20- 3856452 <br />05/07/2012 <br />07/09/2012 <br />06/06/2022 <br />08/08/2022 <br />7320.53. <br />4297.36 <br />Place of Filing <br />Register of Deeds <br />.Hall POBOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />$ 11617.87 <br />11/27/2012 TUE 15:36 FAX 402 471 4429 UCC SECRETARY OF STATE <br />the <br />16th day of November 2012 <br />Signature /7%.,,—.. C <br />for PATRICK J KELLOGG <br />Part 1 - Kept By Recording Office <br />x;01209908 <br />Title <br />REVENUE OFFICER <br />(308) 384 -4850 <br />Hall <br />0002/002 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />24 -10 -1744 \t <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) Form 668(Y)(c) (Rev. 2 -2004) <br />CAT. NO 60025X <br />