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2/22/2016 4:11:48 PM
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DEEDS
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201601066
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r <br />Form 66E1 (Y) <br />(Rev. February 2004) 4) <br />11290 <br />Department of the Treasury - internal Revenue Service 20 it ° 1O <br />Notice of Federal Tax Lien <br />Area: <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (B00) 829 -7650 <br />Serial Number <br />198170516 <br />For Optional Use by Recording Office <br />NE <br />f« K <br />i, 0,1 <br />, { y I1� <br />�I Ili <br />�I Ii1� 1 ti <br />! ! <br />,1 � rl ! <br />, ! 1 I , <br />991678992B <br />F�iea <br />!*«a <br />! ,,11 I <br />1 1I, <br />I �I PI <br />Jahn A SA]. - UCC FTC <br />1; ! HI li! <br />i'll! Iii I ] , ' <br />,, 1I�, i,1 j <br />1 ' II�11 �I, �1 ��II <br />'[ <br />l i' ��I I <br />I ,� Ids ' � ,i <br />-9 PgB <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 pay of this liability, but it remains unpaid. Therefore, <br />�' <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 MARISOL CAMELIA ENRZQUEZ <br />Residence 114 1/2 N EDDY ST <br />GRAND ISLAND, NE 68801 -5880 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is Wiled 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 />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 />(1) <br />1040 <br />1040 <br />• <br />12/31/2006 <br />12/31/2007 <br />XXX-XX -6032 <br />XXX -XX -6032 <br />12/14/2009 <br />08/02/2010 <br />01/13/2020 <br />09/01/2020 <br />15340.00 <br />5521.67. <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 20861.67 <br />Feb. 22: 2016 3:53FM NE Secretary c,f State — UCC <br />No, 5190 P. 2 <br />This notice was prepared and signed at CHICAGO IL , on this, <br />the 09th day of February 2016 <br />Signature � Title <br />ACS W &I <br />for GRACE SANTACRUZ (800) 829 -7650 <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. 4091 <br />14 -00 -0000 <br />Part 1 - Kept BY Recording Office Form 66800(c) (Rev. 2.2 <br />CAT. NO Rnn7sx <br />
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