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Jan, 6. 2516 3:19PV NE Secretary of State — UCC .No.4412 P. 4/5 <br />Form 668 (Y)(c) <br />;Rey. February 20041 <br />5216 <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA ##4 <br />Lien Unit Phone: (800) 829 -3903 <br />Name of Taxpayer SERGIO CALDERON GUTIERRE <br />Residence <br />the <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien 2 0 6 0 0 0 6 8 <br />Serial Number <br />As provided by section 6321, 6322, and 6321 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 hi 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 />523 ROUSH LN <br />GRAND ISLAND, NE 68801 -2210 <br />190205115 <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 IRC 6325(2)_ <br />Kind of Tax <br />(a) <br />1040 <br />1040 <br />1040 <br />Place of Filing <br />This - notice was prepared and signed at <br />Signature <br />Tax Period <br />Ending <br />(b) <br />12/31/2005 <br />12/31/2006 <br />12/31/2007 <br />f or.G.J. CARTER- LOUIS <br />Identifying Number <br />(c) <br />XXX -XX -3766 <br />XXX-XX-3766 <br />XXX -XX -3766 <br />Register of Deeds <br />Hail POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />11th day of December . 2015 <br />v+� <br />Date of <br />Assessment <br />(d) <br />12/22/2014 <br />01/12/2015 <br />12/22/2014 <br />Last Day for <br />Refiling <br />(e) <br />01/21/2025 <br />02/11/2025 <br />01/21/2025 <br />For Optional Use by Recording Office <br />V E Sac d S4a4e Jafin A Sal. - UCC FTL <br />9916768191 -5 Age: 1 <br />GUTIERRE SERGIO CALDERON <br />Filed: P1 /OS/2016 51148 PM <br />Total $ <br />Unpaid Balance <br />of Assessment <br />(f) <br />2580.83 <br />2535.53 <br />2256.55 <br />7372.91 <br />CHICAGO, IL .. on this, <br />Title • <br />ACS SBSE <br />(800) 829 -3903 <br />24 -00 -0008 <br />(NOTE: Certificate of officer, authorized by taw -to take acknowledgment is not essential to the validity of Notice of Federal Tax lien. <br />Rev. Rul. 71 -488, 1971 • 2 C.B. 408) • Form 668(Y)(c) (Rev, 2- 2004) <br />Pan I . K•nt Rv Recording Office nwT sin rnnocv <br />