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Form 668 (Y)(c) <br />[Rev. February 2004) Notice of Federal Tax Lien <br />Area: Serial Number For Optional Use by Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA #3 <br />Lien Unit Phone: (800) 913 -6050 200105416 NE Sac of Si. a Jahn A Gala . UGC GTL <br />I <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 9916769560 -4 Pee: 1 <br />property belonging to .this taxpayer for the amount of these taxes, and Filed: 03/03/20ie 09:58 AM <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer TROY E & BARBRA A CARSWELL <br />Residence 3 73 9 NORSEMAN AVE <br />GRAND ISLAND, NE 68803 <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 6325(a). <br />Tax Period Date of Last Day for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refiling of Assessment <br />(a) (b) (c) (d) (e) ( f) <br />1040 12/31/2008 XXX-XX-1085 05/02/2011 06/01/2021 10248.88 <br />1040 12/31/2009 XXX -XX -1085 04/25/2011 05/25/2021 17156.56 <br />1040 12/31/2010 XXX -XX -1085 09/17/2012 10/17/2022 25135.71 <br />1040 12/31/2011 XXX -XX -1085 06/04/2012 07/04/2022 1307.92 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total $ 53849.07 <br />. Grand Island, NE 68802 -1692 <br />Mar. <br />This notice was prepared and signed at CHICAGO, IL <br />on this, <br />2016 3:46PM NE Secretary of State — UCC <br />- the <br />2 3rd day of February 2016 <br />Signature M Title <br />REVENUE OFF 23-06-3503 <br />for MS..C.L. LITTLE (352) 291 -2815 <br />(NOTE: Certificate of officer authorized by kw to take acknowledgment Is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rid. 71 -466, 1971 - 2 C.B. 409) <br />Part I - Kept By Rccordinf:Office Form 661100(c) (Rev. 2 -2004) <br />CAT. NO 60025X <br />No, 5353 F. 2 <br />5216 <br />Department of the Treasury - Internal Revenue Service 201601: <br />Mar. <br />This notice was prepared and signed at CHICAGO, IL <br />on this, <br />2016 3:46PM NE Secretary of State — UCC <br />- the <br />2 3rd day of February 2016 <br />Signature M Title <br />REVENUE OFF 23-06-3503 <br />for MS..C.L. LITTLE (352) 291 -2815 <br />(NOTE: Certificate of officer authorized by kw to take acknowledgment Is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rid. 71 -466, 1971 - 2 C.B. 409) <br />Part I - Kept By Rccordinf:Office Form 661100(c) (Rev. 2 -2004) <br />CAT. NO 60025X <br />No, 5353 F. 2 <br />