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Form 668 m <<) <br />May. February 2004i <br />14583 <br />Department of the Treasury - Internal Revenue Service <br />. <br />Notice of Federal Tax Lien 201309774 <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) , 829 -3903 <br />Serial Number <br />972336313 <br />For Optional Use by Recording Office <br />• • <br />NE Soo of sli..e John P aa1O ACC FTL <br />� <br />,i 1' , I <br />�� 1 �'� 1 ' ��� � �;' I �, ) <br />�� � I I''� �1� �, it I� I I�„ �,I� <br />III 1 <br />991372748 <br />p ; 09:44 Ni <br />• <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 -tamed 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 R VERJAN VELAZ & M FIERRO AGUIR <br />Residence 2211 COCHIN ST <br />GRAND ISLAND, NE 68801 - 7627 <br />IMPORTANT <br />unless notice <br />on the day <br />In IRC 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 />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 D for <br />Ref g <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />1040 <br />1040 <br />12/31/2009 <br />12/31/2010 <br />XXX -XX -9232 <br />XXX -XX -9232 <br />• <br />02/25/2013 <br />02/25/2013 <br />03/27/2023 • <br />03/27/2023 <br />49502.41 <br />17243.88 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />$ 66746.29 <br />0 DDec.18. 2013 1:51PM NE Secretary of State — UCC <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the <br />05th day of December 2013 <br />Signature / C � <br />for c.a. . CARTER - LOUIS <br />Title <br />ACS SBSE <br />(800) 829 -3903 <br />No. 2444 P. 2 <br />24-00-0008 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Nodca of Federal Tex lien <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) <br />Mart 1 - Kept ®jr Rsetotdio6 Office CAT. 66000(c) (Rev. 2 -2004) <br />CAT. NO 60025X <br />