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Force efurh 2004) ) <br />(Rev. February 20041 <br />4806 <br />Department of the Treasury - Internal Revenue Service 2(11.6003 <br />Notice of Federal Tax lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829 -3903 <br />Serial Number <br />137439515 <br />For Optional Use by Recording Office <br />4 .. a . ., ,,.,. 24.1 „ <br />1 I i t I I I 1 <br />! t , � �� I�;I( I I <br />�' <br />' '! ! i� i <br />3815747045-5 <br />Filed •1115i2t15 <br />e . u« in <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the folowing -named taxpayer. we have made <br />a demand for payment of dds liability, but It remains unpaid. Therefore, <br />Li there a IIkn In favor of the United States on all property and rights to <br />property belonging to rids taxpayer for the amount of these taxes, and <br />additional penalties, Interest, and costs that ar<CrYle. <br />111111 <br />Ppr: i <br />01:42 PH <br />Name o Taxpayer JODY A RI ER <br />Residence 4 019 LAMBCHOP LN <br />GRAND ISLAND. NE 68903 -2905 <br />IMPORTANT RELEASE INFORMATION: For each aseeeement listed below, <br />unless notice of the lion le raffled by the dote given in oolumn (s), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />In IRO 03254a). <br />Kind of Tax <br />(a) <br />Tax Period <br />Egg <br />(b) <br />Identifying Wuinber <br />(e) <br />Date of <br />Assessment <br />(d) <br />List ppaY� for <br />Unpaid Balance <br />of Assessment <br />1040 <br />12/31/2006 <br />XXX -XX -2447 <br />_ <br />02/17/2014 <br />-( <br />03/18/2024 <br />48937.92 <br />Place of Filing <br />Register of Deeds <br />Hell t?OSOX 16 Total <br />Grand Island, NB 68802 - 1692 <br />4 d01■37.112 <br />Jan.15. 2015 2:55PM <br />This notice was prepared and signed at CHICAGO, I1 ' , on this, <br />the 02nd day of January 2015 <br />Signature <br />NE Secretary of State — UCC <br />No. $720 <br />Title SBSE 24.00 -0008 <br />for G.J. CARTER -LOUIS (800) 929 -3903 , <br />QUOTE: Certificate of officer authorized by law to take acknowledgment le not eseentiel to the validity of Notice of Faderel Tax lien <br />Rev. Rul. 71 -488, 1871 • 2 C.B. 409) Form 66801)(c) (Rev. 2-2004) <br />Put I • Krvt alt► Recortess Otte CAT. NO 00025X <br />44 <br />