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Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (600) 913 -6050 <br />Serial Number • <br />995523014 <br />For optional Use by Raoording Office <br />NE s.= <br />1 <br />i 473 <br />Film): <br />d '1.l. J.h„ a 6.1e - ucc p.n. <br />01 111111 <br />-s Pas 1 <br />e440/2814 e1: &1 PM <br />• <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a nodce that taxes (including interest and penalties) <br />have been assessed against the fallowing-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 thi, taxpayer for the amount of these tazam, and <br />additional penalties, Interest, and costs that nay accrue. <br />Name of Taxpayer MA.1ZC MORGAN <br />Residence 815 W 17TH ST <br />GRAND ISLAND, NE 68801 -3528 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is raffled by the date given in column (e), title notice shall, <br />on the day folior.ving such date, operate as a certificate of release ea defined <br />in IRC 6325(0. <br />Kind of Tax <br />(a) <br />Tax Endo <br />(b) <br />identify* Number <br />(c) <br />Assessment <br />(d) <br />�g <br />(e) <br />of ASSOSSMent <br />(f) <br />1040 <br />12/31/2012 <br />XXX -XX -5384 <br />02/24/2014 <br />03/25/2024 <br />1354.11 <br />• <br />Place of Filing <br />Register of Deeds <br />• Hall POBOX 1692 Total <br />Grand Island, HE 68802 -1692 <br />$ 1354.11 <br />• <br />Apr,34 2414 3:17PM NE Secretary of State — UCC <br />Faun 668 (Y)(c) <br />(Rev_ February 2004i <br />11883 <br />This notice was prepared and signed at CHICAGO : , on this, <br />the 17th day of April 2014 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Part 1 - Kept By lecongea Office <br />No.4551 P. 2/4 <br />201402552. <br />5 ignsture Title <br />\ .C, REVENUE OFFICER 24 -10 -1744 <br />for PATRICK J KELLOGG ' (308) 663-6003 <br />(NOTE Cardficate of officer authorized by law to take acknowledgment is not essential to the validity of Motive of Federal Tax Oen <br />Rev. Rut. 71 - 4815. 1671 - 2 C.B. 40A) <br />Form 668(1f)(c) IRev. 2 -2004) <br />CAT. NO 60025X <br />