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Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />933413913 <br />For Optional Use by Recording Office <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />N6 Sec cf S4nle John A Gale - UCC FTL <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 />9913714564 <br />JERRY <br />TYNAN <br />-1 <br />AGENCY <br />INC, <br />Pgs: <br />A <br />CORP <br />Filed: 05/07/2013 09:26 AM <br />Name of Taxpayer JERRY TYNAN AGENCY INC, a Corporation <br />Residence 3 614 BRONCO RD <br />GRAND ISLAND, NE 68801 -8660 <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 6325(a). <br />Tax Period <br />Date of <br />Last Day <br />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 />941 <br />09/30/2010 <br />26- 2365844 <br />01/03/2011 <br />02/02/2021 <br />31.81 <br />941 <br />03/31/2011 <br />26- 2365844 <br />07/09/2012 <br />08/08/2022 <br />2176.84 <br />941 <br />06/30/2011 <br />26- 2365844 <br />07/09/2012 <br />08/08/2022 <br />2132.01 <br />941 <br />09/30/2011 <br />26- 2365844 <br />07/09/2012 <br />08/08/2022 <br />2089.13 <br />941 <br />12/31/2011 <br />26- 2365844 <br />07/09/2012 <br />08/08/2022 <br />1976.24 <br />941 <br />03/31/2012 <br />26- 2365844 <br />07/09/2012 <br />08/08/2022 <br />1718.95 <br />941 <br />06/30/2012 <br />26- 2365844 <br />10/22/2012 <br />11/21/2022 <br />1793.81 <br />941 <br />09/30/2012 <br />26- 2365844 <br />03/18/2013 <br />04/17/2023 <br />1777.19 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 13695.98 <br />Grand Island, NE 68802 -1692 <br />05/07/2013 TUE 13:39 FAX 402 471 4429 UCC SECRETARY OF STATE - -'-. Hall <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />3595 <br />201303655 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />10002/002 <br />• This notice was prepared and signed at <br />the <br />Signature <br />12th day of April 2013 <br />for PATRICK J KELLOGG <br />CHICAGO, IL <br />Title <br />REVENUE OFFICER <br />(308) 384 -4850 <br />24 -10 -1744 <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) <br />Part 1 - Kept By Recording Office <br />Form 668(Y)(c) (Rev. 2 - 200 <br />CAT. NO 60025X <br />