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2 F or i n 6 6ar (Y)( <br />4 (Rev. . February 2004) <br />3595 <br />Department of the Treasury - Internal Revenue Service ,� ®13 ® Service — ® me <br />Notice of Federal Tax Lien �i <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED .AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Seri Number <br />955788413 <br />For Optional Use by Recording Office <br />No <br />9s TRYLOR <br />Filed: <br />see ,,, <br />JAMES <br />09/06/2013 <br />s.,ie John A (We - UCC <br />FTL <br />0 <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 the following -named taxpayer. We have made <br />a demand for payment of this liability, but k 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 />1111111 <br />Poe: <br />11 <br />01:30 PM <br />Name of Taxpayer JAMES TAYLOR II <br />Residence 314 S MAIN ST <br />GRAND ISLAND, NE 68801 - 8466 <br />I IMPORTANT RELEASE INFORMATION: <br />unless notice of the Tien is refiled <br />on the day following such date, <br />in IRC 6325(a). <br />For each assessment listed below, <br />by the date given in column (e), this notice shall, <br />operate as a certificate of release as defined <br />Kind of Tax <br />(a) <br />T Ending Period <br />(b) <br />Identifying Number <br />(c) <br />Assessment Date <br />(d) <br />Last Day for <br />(e) <br />of Ases Balance <br />m n e <br />(f) <br />1040 <br />1040 <br />1040 <br />12/31/2009 <br />12/31/2011 <br />12/31/2012 <br />• <br />XXX -XX -2598 <br />XXX -XX -2598 <br />MCC-MC-2598 <br />06/24/2013 <br />07/08/2013 <br />07/08/2013 <br />07/24/2023 <br />08/07/2023 <br />08/07/2023 <br />68991.26 <br />13344.45 <br />6657.15 <br />• <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 -1692 . <br />$ 88992.86 <br />Sep. 6. 2013 2:02PM NE Secretary of State — UCC <br />This notice was prepared and signed at CHICAGO IL , on this, <br />the <br />Signature <br />15th day of August 2013 <br />Title <br />REVENUE OFFICER <br />(402) 473 -4675 x2912 <br />(NOTE: Cerdficate of officer authorized by law to take acknowledgment )e not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) <br />for DANIELLE L MUELLER <br />Part 1 - Kept By Rowans Office <br />No, 0786 P, 3/6 <br />24 -10 -1720 <br />Form 668(Y)(c) (Rev. 2 -2004) <br />CAT. NO 60026X <br />