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19. 2015' 3: 04PM: — ':NE Secretary of State — UCC <br />>Forel 669 (Y)(c) <br />(Rev, February 2004) <br />14582 <br />Area: <br />SMALL BUSINESS /SELF F v1PLU'Y'13D AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />As provided by section 6321, 6322, and 6323 of the internal Revenue <br />Code, we are giving a notice that taxes (indu&ig Interest and penalties) <br />have beet 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 Ben in favor of the United States en 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 JAMES 11 TRUELL <br />Residence <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is rallied by the date given in column (e), this noun shall, <br />an the day following such date, operate as a certificate of release as defined <br />in IRC 53251a). <br />Kind of Tax <br />(a) <br />1040 <br />Place of Filing <br />903 W DIVISION ST <br />GRAND ISLAND, NB 68801-6451 <br />Tax Period <br />Ending <br />(b) <br />12/31/2012 <br />This notice was prepared and signed at <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Len <br />Identifying Number <br />(c) <br />XXX -XX- 6144 <br />Serial Number <br />Date of <br />Assessment <br />(d) <br />01/12/2015 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />the 05th day of March , 2015 <br />Signature ��� <br />for DANIELLE L LER <br />CHICAGO, IL <br />146710615 <br />Part 1 - fleet Ilv lfieaellee ()Bice <br />Last Day <br />(e) <br />02/11/2025 <br />Title <br />REVENUE OFFICER <br />(402) 473 -4675 <br />No. 9751 P. 2.2 <br />015 01 51 <br />For Optional Use by Recording Office <br />M/ fm M s+ Jahn F 11.rn - tiCE CTL <br />1111 111111 <br />9915738708 -8 Pes i 1 <br />TRUe L arms 14 <br />F11trd: 0311812016 10:33 Alt <br />Total <br />Unpaid Balance <br />of Assessment <br />(f) <br />28142.57 <br />$ 28142.57 <br />, on this, <br />24-06-2720 <br />(NOTE Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rut. 71 -486, 1971 - 2 C.B. 409) Form 4681(0(e) IRev. 2 -2004) <br />,.AT Alfa A/V1'!CV 1 1 .✓' <br />