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'60 • . • <br /> Aug. 9. 21)16 3: 17FM NE '€ r: retary f State - UCC c.o7i160 1237 <br /> 11874 <br /> Department of the Treasury - Internal Revenue Service <br /> Form 668 (Y)(c) <br /> ifiev.February 2004) Notice of Federal Tax Lien <br /> Area; Serial Number For Optional Use by Recording Office <br /> SMALL BUSINESS/SELF EMPLOYED AREA #1 • <br /> Lien Unit Phone: (000) 913-60S0 223500716 <br /> NE Sac cif 54.4. Jahn A fiNlo - UGG FTL • <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 9916778170_13 ° P®,; 1 <br /> property belonging to this taxpayer for the amount of these taxes, and LEMglR2G JEREMY C <br /> Filed: 00/09/2 6116 09;17 AM <br /> additional penalties, interest, and costs that may accrue. <br /> Name of Taxpayer JEREMY C LEMBURG <br /> Residence. 4183 INDIANHEAD RD . <br /> GRAND ISLAND, NE 68803 . <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 /> • <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 /> —1:0-4-0---'1-21-311-2-01-4-�6T9 4" 0-6-/"0"8/2"016'—0'7/0"8-2-0'2"6— 1733-1. 97— <br /> r • <br /> • <br /> Place of Filing <br /> Register of Deeds • <br /> Hall POBOX 1692. • • Total $ 17331. 97' • <br /> • Grand •Island, NE•.68802-1692 •• <br /> This notice was prepared and signed at CHICAGO,. IL ,.on this, <br /> 01st August 2016 . <br /> • <br /> the • day of <br /> Signature Title . <br /> CASE PROC MGR 21-00-0018 <br /> for TERESA SMALLEY-BANFIELD (866) 611-6191 • <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. Ruf. 71-466,1971 -2 C.B.409) <br /> Form 6680)(1) (Rev. 2-2004) <br />