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Feb.22. 2017 4:12FM NE Secretary . State — UCC No. 9762 P. 2/ <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829 -3903 <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 KEVIN B DARLING <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 (a), 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 />1040 <br />Place of Filing <br />Signature <br />Tax Period <br />Ending <br />(b) <br />11874 <br />12/31/2009 <br />12/31/2010 <br />12/31/2011 <br />12/31/2012 <br />i: or G.J. CARTER-LOUIS <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Serial Number <br />710 DEAN ST <br />GRAND ISLAND, NE 68801 -3060 <br />Identifying Number <br />(c) <br />XXX -XX -3262 <br />XXX -XX -3262 <br />XXX -XX -3262 <br />XXX -XX - 3 2 6 2 <br />Date of <br />Assessment <br />(d) <br />04/21/2014 <br />07/15/2013 <br />07/15/2013 <br />06/09/2014 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />the 02nd day of February 2017 <br />247884917 <br />Last Day for <br />Refiling <br />(e) <br />05/21/2024 <br />08/14/2023. <br />08/14/2023 <br />07/09/2024 <br />Title <br />ACS SBSE <br />(800) 829 -3903 <br />201701163 <br />For Optional Use by Recording Office <br />Kg a.. of <br />5$.i. John C <br />Gala - <br />9917787501 -4 <br />DARLING KEVIN B <br />Filed: 02/22/2017 10 :36 AM <br />Total $ <br />Unpaid Balance <br />of Assessment <br />(C <br />MC FTL <br />P9s. 1 <br />2937.36 <br />1894.73 <br />8533.66 <br />26255.94 <br />39.621.69 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />24 -00 -0008 <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. Rut. 71 -466, 1971 - 2 C.B. 409) Form 666(Y)(c) (Rev. 2 - 2004) <br />Part 1 - Kept By Recording Office CAT. NO 60025X <br />