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/ <br />term 668 (Mc) <br />mew. February 701:04) <br />4804 <br />Department of the Treasury - Internal Revenue Service <br />'. <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELV EMPLOYED AREA #4 <br />Lien Unit Phone: (804) 913 -6050 <br />Serial Number <br />122731014 <br />For Optional Use by Recording Office <br />a� 5— s ,.�� a ���� ' ` ` `T` <br />gg147435e2 -8 plea 1 <br />filed: i 1 ti4 o2 91 PR <br />As provided by section 6321, 6322, and 6323 of the internal. Revenue <br />Code, we are giving a notice that taxes (brchwting Interest and penalties) <br />have been assessed against the following - named taxpayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />_ there Is a Hen in favor of the United States on al property and rights to <br />property belonging to this taxpayer for the amount of the taxes, and <br />additional penalties, interest, and coatis that may accrue. <br />Name of Taxpayer J AVILA GITTIERREZ <br />Residence 111 W 7TH ST <br />GRAND ISLAND, NE 688014322 <br />IMPORTANT RELEASE INEORMATiON: For each assessment listed below, <br />unless notice of the lien is refiled by the date given In column la), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in !RC 6325(a). <br />land of Tax <br />• (a) <br />Tax Period <br />Ending <br />(b) <br />12/31/2010 <br />ldendf 1ng Number <br />(c) <br />X —XX -7152 <br />Date of <br />Assessment <br />(d) <br />02/17/2014 <br />East pay for <br />Bottling <br />(e) <br />03/18/2024 <br />Unpaid Balance <br />of Assessment <br />( <br />123782.30 <br />• <br />• <br />• <br />1040 <br />Oct, 20. 2014 3 :36PM NE Secretary of State — ACC <br />Pic. 7 212 <br />Place of Filing <br />the <br />01st: day of October 2014 <br />Signature ' ; Nr-�c_ <br />for PATRICCK J KELLOGG • <br />Register of Deeds <br />Hall POBQX 1692 <br />Grand Island, NE 68802 -1692 <br />Title <br />REVENUE OFFICER <br />(308) 663 -6003 <br />Total I$ 123782.30 <br />This notice was prepared and signed at CHICAGO, 31 , on this, <br />24 -06 -2744 <br />(NOM certificate of officer authorized by law to take acknowledgment Is not essential to the veldtty of Notice of Federal Tax lien <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 66.004) (Rev. 2 -20041 <br />m.,w, a . reea tw D.rnrdtwm Affirm �. — ... <br />66 a.9 <br />