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SP. 2015 2:4'3F'M NE Secretary of Stat — UCC__ No. 29,3" <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />Area: <br />WAGE be INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829 - 7650 <br />At 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 may accrue. <br />Name of Taxpayer VIRGIL SCIGL . <br />Residence <br />Kind of Tax <br />(a) <br />the <br />1040 <br />1040 <br />1040 <br />1040 <br />Place of Filing <br />Signature <br />for GRACE SANTA <br />5216 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax lien <br />Serial Number <br />1512 S LOCUST ST <br />GRAND ISLAND, NE 68801 -8245 <br />I 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 IRC 6325(a). <br />Tax Period <br />Ending <br />(b) <br />12/31/2004 <br />12131 <br />12/31/200 <br />12/31/2008 <br />Identifying Number <br />(c) <br />XXX -XX -5970 <br />XXX-XX- 5970 <br />XXX -XX -5970 <br />XXX-XX -5970 <br />11th d of • S epte mb er 2015 <br />C v <br />RUZ <br />Date of <br />Assessment <br />(d) <br />03/22/ <br />07/12/2010 <br />03/22/2010 <br />02/16/2015 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />175984515 <br />Last Day for <br />Refiling <br />(e) <br />04/21/2020 <br />08/11/2020 <br />04/21/2020 <br />03/18/2025 <br />Title <br />ACS W &I <br />(800) 829 -7650 • <br />For Optional Use by Recording Office <br />II ►.c of Stoic J.h. A Gale - AC[ FTL <br />ii <br />9915761608 -2 Pgs: 1 <br />SGIGLR VIRGIL • <br />Filed: 09130!2015 01:36 PM <br />Total $ <br />201506706 <br />Unpaid Balance <br />of Assessment <br />(f) <br />5886.95 <br />7317.89 <br />41078.83 <br />2829.44 <br />57113.11 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />14 -00 -0000 <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,. 1971 - 2 C.B. 409) <br />c ... LLO /VW.% AD—. '1111/1M <br />. A \V <br />