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Mar, 9. 2516 4: 20FU1 NE Secretary of State UCC -2016lU-1F ,°d,0-- <br /> 5216 <br /> Form 668 (Y)(c) Department of the Treasury- Internal Revenue Service <br /> [Rev.February 2004) Notice of Federal Tax Lien <br /> Area: <br /> SMALL BUSINESS/SELF EMPLOYED AREA #4 Serial Number For Optional Use by Recording Office <br /> Lien Unit Phone: (800) 913-6050 <br /> 200613016 <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) NE Sao of si.{o Joh n R Gale - UCC Fri <br /> have been assessed against the following-named taxpayer. We have made <br /> a demand for payment of this !lability, 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. 9916769960-2 Pas: <br /> Name of Taxpayer ALEX E RAPPONEAU RpPPONERU Rlt X E <br /> Filed: 03!09/2016 12:26 PIS <br /> Residence 640 MEMORIAL pR <br /> GRAND ISLAND, NE 68801--7856 <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 0325(a). <br /> Tax Period Date of Last Re� ng Day for <br /> Kind of Tax Ending Identifying Number Assessment Unpaid Balance <br /> (a) (b) (c) (d) of Assessment <br /> 1040 12/31/2011 XXX-XX-4307 01/04/2016 02/03/2026 1f5879.15 <br /> 104o 12/31/2012 XXX-XX-4307 01/18/2016 02/17/2026 <br /> 1040 12/31/2013 XXX-XX-4307 01/11/2016 02/10/2026 49851.65 <br /> .9188.0 <br /> 1040 12/31/2014 XXX-XX-4307 01/11/2015 02/10/.2026 9 <br /> 188. 09 <br /> • <br /> Place of Filing <br /> Register of Deeds <br /> Hall POBOX 1692 <br /> Grand Island, NE 68802-1692 Total $ 69255.61 <br /> • <br /> • <br /> This notice was prepared and signed at CHICAGO, IL <br /> , on this, <br /> the <br /> 25th 5th day of February 2016 016• <br /> Signature <br /> esn-dorv( -- Title OFFICER <br /> for PATRICK 1 KELLOGG 24-06-2744 <br /> (308) 663-6003 <br /> (NQTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tex lien <br /> Rev. Rol. 71-466, 1971 - 2 C.S. 409) <br /> Part 1 -Kept By Recording Office Form 66B(Y)(c) 1Rev. 2-20041 \ <br />