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/ma 668 (ln(c) <br />(Rev. February 20041 <br />3595 <br />Department of the Treasury - Internal Revenue Ser <br />Notice of Federal Tax Lien 201307061 <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />9562673.13 <br />For Optional Use by Recording Office <br />NE <br />99137 <br />Filed: <br />Roo <br />II <br />I <br />pi <br />1� <br />of St.te <br />1 <br />! <br />l <br />I <br />- e <br />08128 <br />Joho A Gale - .xc _ <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 />1111 <br />II <br />p II <br />Ij II <br />P :; 1 <br />01 ;30 PM <br />Name of Taxpayer JAMES H TRUELL & KARLA 3 ANDREASEN <br />Residence 903 W DIVISION ST <br />GRAND ISLAND, NE 68801 -6451 <br />IMPORTANT <br />unless notice <br />on the day <br />in (RC 6325(a). <br />RELEASE INFORMATION: For each assessment listed below, <br />of the lien is refiled by the date given in column (e), this notice shall, <br />following such date, operate as a certificate of release as defined <br />. <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />Identifying )lumber <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Reflling <br />(e) <br />Unpaid Balance <br />of Assessment <br />(0 <br />1040 <br />1040 <br />1040 <br />1040 <br />12/31/2007 <br />12/31/2008 <br />12/31/2010 <br />12/31/2011 <br />XXX -XX -6144 <br />XXX -XX -6144 <br />XXX -XX -6144 <br />XXX -XX -6144 <br />• <br />08/05/2013 <br />08/05/2013 <br />08/05/2013 <br />08/05/2013 <br />09/04/2023 <br />09/04/2023 <br />09/04/2023 <br />09/04/2023 <br />41688.92 <br />28450.90 <br />24822.65 <br />18715.89 <br />• <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />$ 113678.36 <br />the <br />Aug. 28. 2013 2:41PM NE Secretary of State — UCC <br />This notice was prepared and signed at <br />19th day, of August 2013 <br />Signature <br />for CAROL ` HALL 1 <br />CHICAGO, IL <br />Title <br />REVENUE OFFICER <br />(402) 473 -4673 <br />No. 0634 P. 2 <br />, on this, <br />24 -10 -1732 <br />(NOTE: Certificate of officer authorbed 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 669(00) (Rev. 2 -2004) <br />• Part 1 - Kept By Recording Office r * r un OtW e V <br />