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) <br />Form 660 (Y)(c) <br />(Rev_ February 2004) <br />5216 <br />Department of the Treasury - Internal Revenue Service <br />20160075 <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA 44 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />195553416 <br />For Optional Use by Recording Office <br />NE See <br />1 1 ! <br />i <br />�'�� <br />9916768079 <br />JERRY <br />Flied: <br />of <br />?� <br />TYNAN <br />Stake John <br />-2 <br />AGENCY <br />02/05/2016 <br />A <br />CIGAR <br />_ <br />6.1n <br />INC, <br />. UCC <br />A <br />PM <br />rn <br />��I <br />I � <br />1 <br />I <br />R5s <br />CORP <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 />t here Is a lien in favor of the United States on all property and rtghts 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 JERRY TYNAN AGENCY INC, a Corporation <br />Residence 3 614 BRONCO RD <br />GRAND ISLAND, NE 68801 -8660 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below. <br />unless notice of the lien is raffled 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 8325(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 />941 <br />941 <br />03/31/2015 <br />06/30/2015 <br />XX- XXX5844 <br />XX- XXX5844 <br />11/23/2015 <br />11/23/2015 <br />12/23/2025 <br />12/23/2025 <br />2513.35 <br />2160.32 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />$ 4673.67 <br />Feb. 5. 2016 3:46FM • NE Secretary of Stag — UCC <br />This notice was prepared and signed at <br />the 22nd day of January 2016 <br />Signature Giv-4401. <br />for PATRICK J KELLOGG <br />CHICAGO, I <br />No. 4924 <br />Title <br />REVENUE OFFICER <br />(308) 663 -6003 <br />, on this, <br />24 -06 -2744 <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. flu'. 71-466, 1971 - 2 C.8. 409) <br />Part 1 - Kept By Recording Office Karm 668(Y NO v. 2 <br />CAT. NO 60025 <br />