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Form 668 (Y)(c) <br />(Rev. February 2004) <br />13633 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien 201305917 <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (BOO) 913 -6050 <br />Serial Number <br />947955613 <br />For Optional Use by Recording Office <br />"° <br />9 913719427 <br />Filed; <br />° °' <br />; L <br />s <br />KEVIN <br />07/23/2018 <br />rah" <br />-6 <br />. <br />H 6at <br />L <br />01:36 <br />- <br />P eg: <br />PM <br />• <br />u <br />° T � <br />1 <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 die foilowing•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 KEVIN L & ANITA J KREIFELS <br />Residence PO BOX 120 <br />GRAND ISLAND, NE 68802 -0120 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is reflled by the date given in column (el, this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 8325(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 <br />Refiimg <br />(e) <br />for <br />Unpaid Balance <br />of Assessment <br />(f) <br />1040 <br />1040 <br />12/31/2010 <br />12/31/2011 <br />• <br />XXX -XX -3977 <br />XXX -XX -3977 <br />05/20/2013 <br />06/10/2013 <br />06/19/2023 <br />07/10/2023 <br />26399.79 <br />14346.63 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />$ 40746.42 <br />0 <br />Jul, 23, 2013 3:19PM NE Secretary of State — UCC <br />This notice was prepared and signed at CHICAGO 1 IL , on this, <br />the 02nd day of July 2013 <br />Signature <br />for PATRICK J KELLOGG <br />No, 0075 P. 2 <br />Title <br />REVENUE OFFICER 24-10 -1744 <br />(308) 384 -4850 <br />4 \ <br />(MOTE: 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)(t) (Rev. 2 -2004) <br />Part 1 - Kept By Recording Office PAT iu oAAACV <br />