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Form 668 (Y)(c) <br />(Rev. February 2004) <br />3595 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien 2 013 0 2 8 51 <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />930111013 <br />For Optional Use by Recording Office <br />NE Sec of State John R Gats - UCC FTL <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 />RGE 9 P 1 <br />Mg <br />. <br />additional penalties, interest, and costs that may accrue. <br />Filed: 04/09/2013 12:38 PM <br />Name of Taxpayer HARRY GEORGE <br />Residence 710 WINDRIDGE AVENUE <br />GRAND ISLAND, NE 68803 <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 release as defined <br />in IRC 5325(a). <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/2007 <br />XXX -XX -0186 <br />09/17/2012 <br />10/17/2022 <br />2624701.79 <br />1040 <br />12/31/2008 <br />XXX -XX -0186 <br />09/17/2012 <br />10/17/2022 <br />526902.90 <br />1040 <br />12/31/2009 <br />XXX -XX -0186 <br />09/10/2012 <br />10/10/2022 <br />176325.16 <br />1040 <br />12/31/2011 <br />XXX -XX -0186 <br />02/18/2013 <br />03/20/2023 <br />12892.70 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 3340822.55 <br />Grand Island, NE 68802 -1692 <br />04/09/2013 TUE 15:39 FAX 402 471 4429 UCC SECRETARY OF STATE <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the <br />Signature <br />27th r <br />day of March 2013 <br />for PATRICK J KELLOGG <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 />Part 1 - Kept By Recording Office <br />Hall <br />Title <br />REVENUE OFFICER <br />(308) 384 -4850 <br />(0002 /003 <br />24 -10 -1744 <br />