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form 668 (Y) <br />(Rey. February 20044) <br />3595 <br />Department of the Treasury - Internal Revenue Service <br />• <br />Notice of Federal Tax Lien 20130897: <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA # <br />Lien Unit Phone; (800) 913 -6050 <br />Serial Number <br />966857413 <br />For Optional Use by Recording Office <br />MX 57 <br />�I <br />) 1 III <br />)1i I '� <br />" �! <br />991 3725798^9 <br />dad <br />... ■ta,. how A gala - <br />I' <br />, ' i <br />) i <br />��� 1 'i' 1 I, � <br />I! i� iii <br />MCC Fn, <br />�I <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />have been assessed against the following-named g r payer.. We h ave i 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 />pea: t <br />; 1 2 �2e1s 01:58 PM <br />Name of Taxpayer GARY J & BRENDA S WARTA <br />Residence 2 818 DEL MONTE AVE . <br />GRAND ISLAND, NE 68803 -6118 <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 832501. <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 for <br />Reuling <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />1040 <br />1040 <br />1040 <br />1040 <br />12/31/2008 <br />12/31/2009 <br />12/31/2010 <br />12/31/2011 <br />XXX - -7916 <br />XXX -XX -7916 <br />XXX -XX -7916 <br />XXX -XX -7916 <br />08/26/2013 <br />08/26/2013 <br />06/04/2012 <br />07/08/2013 <br />09/25/2023 <br />09/25/2023 <br />07/04/2022 <br />08/07/2023 <br />6094.75 <br />3539.08 <br />578.22 <br />3845.29 <br />Place of Filing <br />,Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />$ 14057.34 <br />Nov. 12. 2013 2:26PM NE Secretary of State — UCC <br />This notice was prepared and signed at CHICAGO r IL , on this, <br />31st day of October 2013 <br />Signature e 7Ne-.,, c.. <br />Title <br />ACS W &I <br />No. 1843 <br />14 -00 -0000 <br />for MARY T. DELACRUZ (800) 829 -7650 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax Ilen <br />Rev, Rul. 71 -466, 1971 - 2 C.B. 4091 Farm 666(n(c) (Rev. 2 -20041 <br />Pats t - Kept By Recor Office rev run *worse <br />