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Jun. 1' 2014 2 :26PM NE Secretary of State — UCC <br />Forst 668 (Y)(c) <br />(Rev. February 2004) <br />Area: <br />BMaLL ROSINESS /SELF EMPLOYED AREA # <br />Len Unit Phone: (800) 913 -6050 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are guying 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 Pabi ity, 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 KEVIN L & ANITA J KREIrELS <br />Residence <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the Hen Is reified by the date given in column (a), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />Kind of Tax <br />(a) <br />1040 <br />Place of Filing <br />14583 <br />4104 DRIFTWOOD DR <br />GRAND ISLAND, NE 68803 <br />Tax n ding <br />(b) <br />12/31/2012 <br />Identifying Number <br />(C) <br />XXX -XX -3977 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at CHICAGO IL , on this, <br />the 10th day of June 2014 <br />Signature <br />for PATRICK J KELLY <br />(NOTE: Certificate of officer authorized <br />Ray. Rut. 71 -468, 1971 - 2 C.B. 409) <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Serial Number <br />Date of <br />Assessment <br />(d) <br />04/28/2014 <br />Part i - Kept By Itecordieg Office <br />104097314 <br />Last for <br />(e) <br />05/28/2024 <br />Title <br />REVENUE OFFICER <br />(308) 663 -6003 <br />by law to take acknowledgment is not essential to the validity <br />For Optional Use by Recording Office <br />It <br />5 111 5 111111 11111" 1: 9 1 1 <br />991473768E -4 <br />IEIFELS KEVIN L <br />Fi1ed; 8611812014 02:05 P11 <br />Total $ <br />No. 5347 P. 2/2 <br />201403665 <br />Unpaid Balance <br />of Assessment <br />(0 <br />26024.50 <br />26024,50 <br />24 -10 -1744 <br />of Notice of Federal Tax lien <br />Form 669(Y)(c) (Rev. 2-2004) <br />CAT. NO 60025X <br />