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ti <br />Form 660 (10(c) <br />(Rev. February 2004) <br />11883 ....� -.� - — <br />Department of the Treasury - Internal Revenue Service 2 014 7 <br />V I <br />0 6 8 <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA # <br />Lien Unit Phone: (BOO) 913 -605D <br />Serial Number <br />124974514 <br />For Optional Use by Recording Orrice <br />ee s.s os si,re <br />eoia744ei4 <br />BERMON +� <br />rsh., a � - uc c A� <br />N 1 <br />° izeia tz:es PF! <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including Merest and penalties) <br />have been assessed against the folowingvnamed taxpayer. We have made <br />a demand For payment of this llabigty, but it remains unpaid. Therefore, <br />there is a lien in favor of the United States on al 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 RICHARD B BEAMON <br />Residence 1205 CEDAR RIDGE CRT APT 1131 <br />GRAND ISLAND, NE 68803 -1264 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refRed by the date given in column lei, this notice shall, <br />on the day following. such date, operate as a certificate of release as defined <br />In IRO b325(al_ <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last for <br />(0) <br />Unpaid Rebate <br />of Assessment <br />(f) <br />.1040 <br />• <br />12/31/2013 <br />XXX -XX -1964 <br />06/02/2014 <br />07/02/2024 <br />• <br />2042.10 <br />Place of Filing <br />Register of Deeds <br />Hall POHOX 1692 Total <br />Grand Inland, NB 68802 -1692 <br />- <br />$ 2042.10 <br />Oct, 29, 2014 3:25PM NE Secretary of State — UCC <br />This notice was prepared and signed at <br />the 15th day of October 2014 <br />Signature <br />for PATRICK t7 KELLOGG <br />CHICAGO, IL <br />No. 7386 P. 3 <br />, on this, <br />Tide <br />REVENUE OFFICER 24-06 -2744 <br />(308) 663 -6003 <br />(NOTE Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tex lien <br />Rev. Rul. 71-4a& 1971 - 2 C.9.409) Form 6611(Y)(c) (Rev. 2-2004) <br />Part f - &et By Reeaadlea Office CAT. NO 60025X U <br />