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Apr.23 2015 3:31P1 NE Secretary of State — UCC <br />14582 <br />R - (Rev. February 2004) Notice of Federal Tax Lien <br />Area: <br />RMALJ.1 3t)SINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (900) 829 -3903 <br />As provided by section 6321, 6322, and 6323 of the !eternal Revenue <br />Code, we are giving a notice that taxes (bitingly interest and penalties) <br />have been assessed against the followkig•named taxpayer. We have male <br />a demand fir payment of this but it retains unpaid. Therefore, <br />there b a Ben in favor of the United States on all property and rights to <br />property be g to this taxpayer for the amount of these texas, and <br />additional penalties, intereat, and costs that may accrue. <br />Name of Taxpayer TIMOTHY G DAUGHERTY <br />Residence <br />Place of Filing <br />laid of Tax <br />(a) _ <br />1040 <br />924 W 7TH ST <br />GRAND ISLAND, NE 68801 -4102 <br />IMPORTANT RELEASE INFORM )1: For each assessment listed below, <br />unless notice of the Ilen Is Wiled by the date given in column (s), this notice shall, <br />on the day following such date, operate es a cartifioate of release se defined <br />in IBC 6325(0. • <br />Taxes <br />(b) <br />12/31/2008 <br />the 14th day of April 2015 <br />Signature 64'71_ <br />for G.J. CARTER- IS <br />Department of the Treasures Internal Revenue Service <br />Idendfylag Number <br />%]CSC -XX -4677 <br />Serial Number <br />Dued <br />Att <br />(d) <br />03/28/2011 <br />Register of Deeds <br />Hall POHOX 1692 <br />Grand Island, NE 68802 -1692 <br />152735215 <br />Lugar <br />(e) <br />04/27/2021 <br />For Optional Uae by Recordl <br />No. 0500 P. 4/4 <br />Me Sac or stab idn a fat. - UCC Fri <br />111111 <br />Total <br />Office <br />9915752921 -7 : <br />DAUG1ERTY TIIMOTHY G <br />Filed: 114/23/2215 612:e4 P!I <br />201502537 <br />U f Assessment <br />(f) <br />10013.15 <br />$ 10013.15 <br />This notice was prepared and signed at C'HICAQO IL , on this, <br />AC5 SSSE 24 -00 -0008 <br />(800) 829 -3903 <br />MOTE. Certificate of officer authorized by law to take acknowiedgmeri la net assandal to the v■lidity of Notice of Federal Tax In <br />Rev. Rul. 71-486, 1971 -.2 C.B. 409) Form 668(Y)(c) 2 -20041 <br />Part t • kw 8y Records, Wks CAT. Id0 60025X <br />