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Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />926670513 <br />For Optional Use by Recording Office <br />NE <br />Sec <br />o! <br />S!a!e <br />John <br />R Ga <br />¢ - <br />UCC <br />FT <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 />9913711526 <br />-8 Pas: 1 <br />BEAMON RICHARD B <br />Filed: ,03/26/2013 10:55 AM <br />Name of Taxpayer RICHARD B BEAMON <br />Residence 1205 CEDAR RIDGE COURT Bi <br />GRAND ISLAND, NE 68803 -1264 <br />• <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 <br />in IRC 6325(a). <br />following such date, <br />operate as a certificate of release as defined <br />Kind of Tax <br />Tax Period <br />Ending <br />Identifying Number <br />Date of <br />Assessment <br />Last Day <br />' R4l(mg <br />for <br />Unpaid Balance <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />' �(e) <br />(f) <br />1040 <br />12/31/2006 <br />XXX -XX -1964 <br />11/05/2007 <br />12/05/2017 <br />1040 <br />12/31/2006 <br />XXX -XX -1964 <br />04/15/2011 <br />05/15/2021 <br />697.41 <br />1040 <br />12/31/2010 <br />XXX -XX -1964 <br />02/11/2013 <br />03/13/2023 <br />12997.25 <br />1040 <br />12/31/2011 <br />XXX -XX -1964 <br />11/26/2012 <br />12/16/2022 <br />30'66.07 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 16760.73 <br />Grand Island, NE 68802 -1692 <br />03/26/2013 TUB 15:04 FAX 402 471 4429 UCC SECRETARY OF STATE -+-.- Hall <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />14845 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />IJJ007/007 <br />201302379 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the <br />08th day of March <br />2013 <br />Signature � . Title <br />REVENUE OFD' ;DER <br />for DANIELLE L MUELLER (402) 473 -406 N2912 <br />24 -10 -1720 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essentiiiI ta the validity of Notice of Federal Tax lien <br />Rev. RuI. 71 -466, 1971 - 2 C.B. 409) Form 668(Y)(t) (Rev. 2-2004) <br />Part 1 - Kept By Recording Office CAT. NO 60025X <br />