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Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />160305815 <br />For Optional Use by Recording Office <br />NE <br />MYERS <br />Sae of <br />11 <br />9915756231 <br />ELWYNE <br />Filed: 06/18/2015 <br />s +. +. John <br />.11 <br />-0 <br />L <br />A 4.1• <br />111 <br />01 ;08 <br />- UGG <br />Psa: <br />PM <br />fTL <br />1 <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 following-named taxpayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there is a lien in favor of the United States on 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 nnay accrue. <br />Name of Taxpayer ELWYNE L MYERS <br />Residence 3 024 GOLDENROD DR <br />GRAND ISLAND, NE 68801 -8759 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in )RC 6325(a). <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Refiling <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />1040 <br />1040 <br />1040 <br />1040 <br />12/31/2006 <br />12/31/2007 <br />12/31/2008 <br />12/31/2009 <br />XXX -XX -4678 <br />XXX -XX -4678 <br />XXX -XX -4678 <br />XXX -XX -4678 <br />10/15/2012 <br />11/05/2012 <br />03/07/2011 <br />03/19/2012 <br />11/14/2022 <br />12/05/2022 <br />04/06/2021 <br />04/18/2022 <br />105508.41 <br />93803.94 <br />77442.89 <br />71561.86 <br />Place of Filing <br />Register of Deeds <br />Hall POHOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />$ 348317.10 <br />(3) <br />the <br />Jun, 18. 2J1 3:35FM NE Secretary of State — UCC <br />Form 666 (Y)(c) <br />(Rev. February 2004) <br />C <br />for DANIELLE L MUELLER <br />Signature <br />11290 <br />03rd day of June 2015 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />136n <br />N, � J E. 5/5 <br />201504109 <br />This notice was prepared end signed at CHICAGO, 7:I., , on this, <br />Title <br />REVENUE OFFICER <br />(402) 473 -4675 <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. Rul. 71 -466, 1871 - 2 C,B. 409) <br />Pali- Kept By Recording Office Form 666(Y)(t) Om 2 - 2004) <br />CAT. NO 60025X <br />