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Nay. <br />f arm 668 (T)K) <br />(Ray. February 2004) <br />Residence <br />Kind of Tax <br />(a) <br />1040 <br />1040 <br />the <br />2014 2:35PM NE Secretary of State — UCC <br />Tax P <br />g <br />(b) <br />12/31/201 <br />12/31/2012 <br />i <br />Place of Filing <br />This notice Was prepared and signed at <br />Rev. RuI. 71 - 468. 1971 - 2 C.B. 4091 <br />14583 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />23rd day of April <br />Identifying 'N msl <br />(4 <br />XXX -XX - 83 86 <br />XXX -XX -8386 <br />Serial Number <br />Area <br />g MALL BUSINESS /SEED EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913.6050 <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) the following-nanted taxpayer. We have made <br />a de <br />have e mand for Days of and rights to <br />been assessed .against this daWiity unpaid. Therefore; <br />there is a lien in favor of the united n ape 5e taxes, and <br />property belonging to this taxpayer' far the amount <br />additional penaides, Interest, and costs that may acme. <br />Name of Taxpayer CHRISTOPHER W & TONICA L FILA <br />• 996564914 <br />2619 SAINT PATRICK AVE <br />GRANri ISLAND NE 68803. <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is relied by the date given in cokimn le), this notice shall, <br />on the day fallowing such date. operate as a certificate Of release as defined <br />in IRC 6325(al. <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Inland, NE 68802 -169 <br />2014 <br />Date of <br />Assessment <br />(d) _ <br />05/28/2012 <br />06/03/2013 <br />CHICAGO, IL <br />Part 1 - Kept s! BecordW Mice <br />For Optional Use by Recording Office <br />Last pay for <br />Refigng <br />06/27/202 <br />07/03/2023 <br />NE EA. of 54.ie Jahn A gale - UGC OTC <br />11111 <br />9914735378-3 Pas: 1 <br />RILR CHRISTOPHER W <br />Filjd: 0S/e7/2014 12:11 PM <br />Total <br />No. 4709 P. 2/3 <br />201402710 <br />Unpaid Balance <br />of Assessment <br />(f? <br />28659.33 <br />13431.02 <br />42090.35 <br />_ , on this, <br />` Ttle <br />Signature e ACS SBSE <br />LOUIS <br />for G.J. Cpg.'TER (000) 829 -3903 r-- <br />(NOTE Cerdfleate of affioar authorized by law to take acknowledgment is not eaeential to the validity oN <br />Form otice Gbaf Federal <br />(Rev, 2-20041 <br />CAT. NO 00028X <br />24 -00 -00 <br />