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201406665
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Last modified
10/20/2014 4:30:50 PM
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10/20/2014 4:20:19 PM
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DEEDS
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201406665
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Oct. 20. 2014 3:37PM 'NE Secretary of State — UCC <br />Forst 669 (Y)(c) <br />(Rev. February 2004) <br />4904 <br />Area: <br />SMALL BUSYNESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (S00) 913 -6050 <br />Serial Number • <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notke 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 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 DAVID L & MARILYN S ARNOLD <br />Residence <br />i <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is raffled by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325lai. <br />Tax Period <br />Kind of Tax Ending <br />(a) b <br />1040 12/31/2013 <br />Place of Filing <br />the <br />Department of the Treasury - internal Revenue Service <br />Notice of Federal Tax Lien <br />1032 S PLUM ST <br />GRAND ISLAND, NE 68801 -8070 <br />Date of <br />identifying Number Assessment <br />(c) (d) <br />XXX -XX -5079 06/02/2014 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />02nd day of October 2014 <br />123023314 <br />Last bay for <br />g <br />(e) <br />07/02/2024 <br />No. 7212 P, 4/4 <br />For Optional Use by Recording Office <br />NE Sec of iaa!■ Lin R GOD - KTL <br />99114743504-2 Pss: 1 <br />ARNOLD DAVID L <br />Ft1sd: 10)20/2014 02:31 P11 <br />Total <br />Unpaid Balance <br />of Assessment <br />This notice was prepared and signed at CHICAGO, IL - <br />201406665 <br />7650.37 <br />$ 7650.37 <br />, on this, <br />24-06-2744 <br />Signature r7;4-.--.. <br />REV ENUE OFFICER <br />for PATRICK J KELLOGG (308) 663 -6003 <br />(MOTE: Certificate of officer authorized by law to take acknowledgment is not essentlel to the validity of Notice of Federal Tax lien <br />Rev. Rd. 71 -466, 1971 - 2 G.B. 4091 Form 668()(c) (Rev. 2 -20041 <br />
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