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Dec. 15. 2016 3:52FM <br />Form 668 (Y)(c) <br />[Rev. February 2004) <br />11874 <br />Area: <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 829 -7650 <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 <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 BRETT A FLYNN <br />Residence <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 6325(a). <br />Kind of Tax <br />(a) . <br />1040 <br />1040 <br />1040 <br />Place of Filing <br />the <br />Signature <br />2914 DEL MONTE AVE <br />GRAND ISLAND, NE 68803 -6161 <br />Tax Period <br />Ending <br />(b) <br />12/31/2005 <br />12/31/2008 <br />12/31/2009 <br />for GRACE SANTACRUZ <br />NE Secretary of State — UCC <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Identifying Number <br />(c) <br />XXX -XX -2955 <br />XXX-XX -2955 <br />XXX -XX -2955 <br />This notice was prepared and signed at <br />Serial Number <br />Date of <br />Assessment <br />(d) <br />10/15/2012 <br />03/07/2011 <br />03/19/2012 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />06th day of December 2016 <br />240644516 <br />R p ay for <br />(e) <br />g <br />11/14/2022 <br />04/06/2021 <br />04/18/2022 <br />Title <br />ACS W &I <br />(800) 829 -7650 <br />Total $ <br />, 0O8407 <br />For Optional Use by Recording Office <br />M !.e of Slain John ,l Gale - UGC STL <br />11111111 9916783969 -8 Pes: 1 <br />FLYNN BRETT A <br />Filed; 12/1812018 10184 All <br />Unpaid Balance <br />of Assessment <br />(0 <br />15694.79 <br />179.91 <br />920.94 <br />16795.64 <br />CHICAGO, IL , on this, <br />'14 -00 -0000 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax Hen <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 6611(Y)(c) (Rev. 2 -20041 <br />Part 1 - Kept By Recording Office CAT. NO 60025X <br />;1 . <br />