Laserfiche WebLink
Dec. 2. 2015 3:09PM NE Secretary of State — UCC <br />Form 668 (Y)(c) <br />(Rev. February 20041 <br />5216 <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA <br />Lien Unit Phone: (000) 829 - 3903 <br />Name of Taxpayer KRISTEN F KLEIN <br />Residence <br />Kind of Tax <br />1040 <br />Place of Filing <br />Tax Period <br />Ending <br />(b) <br />12/31/2011 <br />This notice was prepared and signed at <br />the 19th day of. November 2015 <br />Signature <br />fox G J CARTER -LOUIS <br />17541 W AIRPORT RD <br />CAIRO, NE 68824 -9538 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Identifying Number <br />(c) <br />XXX - XX -5548 <br />Serial Number <br />Date of <br />Assessment <br />(d) <br />0 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 - 1692 <br />CHICAGO, IL' <br />186846515 <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 may accrue. <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 IBC 6325(a). <br />Last Day for <br />Refiling <br />(e) <br />09/07/2024 <br />Title <br />ACS SBSE <br />(800) 829 -3903 <br />Total <br />No. 3862 P. 2/4 <br />7 <br />For Optional Use by Recording Office <br />FT <br />NO Sr w of 5liko John a dole - U« L <br />II <br />9915764 = 8 <br />P9B: 1 <br />KLEIN KRISTEN F <br />Filed: 12/02/2015 01145 PM <br />Unpaid Balance <br />of Assessment <br />(f) <br />85998.27 <br />$ 85998.27 <br />, on this, <br />24 -00 -0008 <br />(NOTE: Certificate of officer authorized bylaw to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rol. 71 - 466, 1971 - 2 C.B. 4091 Form 666(10(e) (Rev. 2 <br />Part 1 - Kept By Recording Office CAT. NO 60025X <br />