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Fonn 668 (Y)(c) <br />,Rev_ February 2004) <br />11883 <br />Department of the Treasury - Internal Revenue Service a1 <br />2014076 <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BU8XNESS /9ELP EMPLOYED AREA 4 <br />Lien Unit Phone: (800) 829 -3903 <br />Serial Number <br />128653714 <br />For Optional Use by Record Oft ice <br />we "O i feel.'°`"'I "la - UGC <br />8814745825•6 Pea: <br />LEETCIH BOBBY 0p <br />Filed: 13/e4/2814 18:36 All <br />Fn <br />• <br />1 <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 folowing -named taxpayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />the Is a Hen in favor of the finned States on al property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, :serest, and costs that may accrue. <br />Name of Taxpayer BOBBY D LBETCH <br />Residence 550 3RD RD . <br />GRAND ISLAND, NE 68801 -0313 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien Is refiled by the data given in column (el, this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325ia). <br />Kind of Tax <br />(a) <br />Tax Period <br />(b) <br />ldendfying Number <br />(c) <br />Date <br />A a rt <br />(d) <br />R g <br />(o) <br />of Assessment <br />( f) <br />1040 <br />• <br />12/31/2010 <br />XXX -XX -8011 <br />02/24/2014 <br />03/25/2024 <br />34597.58 <br />• <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />• <br />$ 34597.58 <br />2014 2:49PM NE Secretary of State — UCC <br />This notice was prepared and signed at <br />the 04th day of November 2014 <br />Signature <br />for G.,7. CARTER -LOUIS <br />CHICAGO, IL <br />Title <br />ACS SSSB <br />(800) 829 -3903 <br />No. 8049 P. 4 <br />, on this, <br />24-00 -0008 <br />MOTE Certificate of officer authorised by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rut. 71 - 468, 1971 - 2 C -B. 408) Form figger (c) (Rev. 2 -2004 <br />Pet I - Kept By 8ecordru4 Ofrioe CAT. NO 60025X <br />63 <br />