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Jan, 6. 2516 3:19FM NE Secretary of State — UCC No. 4412 F. 5/5 <br />Form 668 (Y)(c) <br />(Rev. February 20041 <br />5216 <br />Area: <br />SMALL BUSYNESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829 -3903 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Serial Number <br />190205215 <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 />Name of Taxpayer S CALDERON GUTIERREZ & LAURA VILLA <br />Residence <br />Kind of Tax <br />(a) <br />1040 <br />1040 <br />1040 <br />Place of Filing <br />the <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is ref iled 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 1RC 6325(a). <br />Signature <br />523 ROUSH LN <br />GRAND ISLAND, NE 68801 -2210 <br />Tax Period <br />Ending <br />(b) <br />12/31/2010 <br />12/31/2011 <br />12/31/2013 <br />Identifying Number <br />(c) <br />XXX-XX- 3 76 6 <br />XXX -XX -3766 <br />XXX- XX -3766 <br />11th day of December 2015 <br />Rev. Rul. 71 -466, 1971 -'2 C.B, 409) <br />Date of <br />Assessment <br />(d) <br />12/15/2014 <br />11/17/2014 <br />11/17/2014 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />Last Day for <br />Ref ling <br />(e) <br />01/14/2025 <br />12/17/2024 <br />12/17/2024 <br />Title <br />ACS SBSE <br />(800) 829 -3903 <br />Total $ <br />201600069 <br />For Optional Use by Recording Office <br />ICE Sre of Ont. John A Erato - UCC FTL <br />t <br />9916768192 -0 Peg: 1 <br />GUTIERREZ S CRLDERON <br />Filed! 01/06/2515 01:49 PM <br />Unpaid Balance <br />of Assessment <br />(0 <br />9296.58 <br />60950.60 <br />17401.93 <br />87649.11 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />24 -00 -0008 <br />for G.J. . CARTER -LOUIS <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien q ; <br />Form 668(Y)(c) IRev. 2 -2004) <br />Part. 1 - Kent BV Recordilne Office r-A1 •In enn•vcv <br />