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Feb, 23. 2017 3, 54FM No. 3605 F. 2 <br />Form 668 (Y)(c) <br />(Rev. Eebivary 2004) <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 KELLI A PILLARD & VINCENT A SNYDER <br />Residence <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is raffled by the data 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 8325(a). <br />Kind of Tax <br />(a) <br />1040 <br />Place of Filing <br />2703 E tTS HIGHWAY 30 APT 24 <br />GRAND ISLAND, NE 68801 -8341 <br />Tax Period <br />Ending <br />(b) <br />11$74 <br />12/ <br />This notice was prepared and signed at <br />the <br />Signature <br />for GRACE SANTACRUZ <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Identifying Number <br />(c) <br />XXX -XX -1776 <br />Serial Number <br />Date of <br />Assessment <br />(d) <br />08/08/2016 <br />Register of Deeds <br />Hall POEOX 1692 <br />Grand Island,. NE 68802 -1692 <br />14th day of February 2017 <br />249306817 <br />Last Day for <br />Reflling <br />(e) <br />09/07/2026 <br />Title <br />ACS W &I <br />(800) 829 -7650 <br />Parc 1 - Kept By Recording Office <br />For Optional Use by Recording Office <br />$ Inc of 5!.!a John R 0.1. - OCC FTL <br />Mil <br />9917787622 -0 Pigs; 1 <br />PILLAR() KELL P <br />Filed: 02/23 2017 01:18 PM <br />Total $ <br />201701196 <br />Unpaid Balance <br />of Assessment <br />(f) <br />14320.18 <br />14320.18 <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 lien <br />Rev. Mk 71 - 466, 1971 - 2 C.B. 409) <br />Form 668(Y)(c) (Rev. 2 - 2004) 4 <br />CAL NO 60026X <br />