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Form 66e (Y <br />(Reev. , February 2004) <br />04) <br />4506 Department of the Treasury - Internal Revenue Service 2015003 <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA #t <br />Lien Unit Phone: (900) 629 -3903 <br />Serial Number <br />137439215 <br />For Optional Use by Recording Office <br />la <br />lea of 3�.ie JENA <br />� '' <br />' <br />� ' � � � ; � ' <br />palume 44-4 <br />►tea: 0i maim, <br />R Lie - ucc FYL <br />As provided by section 632i, 6322, and 6323 of <br />Code, we are giving a notice tiil¢t taxes (including <br />hare been against the follo ing4amed taxpayer. <br />the Internal Revenue <br />interest and penalties) <br />We have made <br />unpaid. Therefore, <br />property and rights to <br />of these taxes, and <br />accrue. <br />' � <br />i il <br />assessed <br />a demand for payment of this 6abNty, but is remains <br />there is a lien in favor of the United States on all <br />property belonging to lids taxpayer for the amount <br />additional penalties, interest, and costs that may <br />Pew 1 <br />el :42 P1 <br />Name of TOxpaYer F SANCHEZ <br />Residence 1920 W 10TH ST <br />. GRAND ISLAND, NE 68803 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />untoao notion o4 tt.• w.n I. ...Mad 6y at.. ins. awn im ..r....,,, 1.1, ti.i. ,...i...i,.a, <br />on the day following such date, operate as a certificate of release as defined <br />In IRO 032500. <br />Kind of Tax <br />(a) <br />Tax En <br />(b) <br />Identifying Number <br />(a) <br />Date <br />Assessment <br />(4) <br />Rieiilit;� <br />(a) <br />npaid Balance <br />of Assessment <br />(f) <br />1040 <br />1040 <br />12/31/2009 <br />12/31/2010 <br />XXX -XX -9713 <br />XX3C -XX -9713 <br />02/17/2014 <br />02/17/2014 <br />03/18/2024 <br />03/18/2024 <br />1092.34 <br />26568.69 <br />Place of Filing <br />Rosiotor of =veep . <br />Hall. POBOX 1692 Total <br />Grand Inland, NE 68UO2 -1692 <br />$ 27661.03 <br />Jan. 15 2515 2:55PM NE Secretary of State CCC . <br />This notice was prepared and signed at CHICAGO, ZL , on this <br />the <br />02nd day of January 2015 <br />r . <br />Signature <br />for G.J. CARTER- <br />IS <br />No. 3725 P. 3 <br />Title <br />ACS SESE 24 -00 -0008 <br />(800) 829 -3903 }. <br />43 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment ie not essential to the velitiiity of Notice of Federal Tex lien <br />Rev. Rul. 71 1971 - 2 C.B. 409) <br />Form 6411 1 (c) iflev. 2-2004) <br />let I - Katt 07 lbeaulOos Office CAT. No 60025X <br />