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Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />249687217 <br />For Optional Use by Recording Office <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 />Ne sec of 5laAe <br />John <br />R <br />Gals . <br />UCC <br />FTL <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 />g917788394 -6 Pgz: 1 <br />F Fil ed DAWN <br />led: 03110r2017 11:14 pM <br />Name of Taxpayer DAWN PEARD <br />Residence 3016 PADDOCK RD APT 111E <br />OMAHA, NE 68124 -2942 <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 />Tax Period <br />Date of Last <br />Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/2012 <br />XXX -XX -2350 <br />05/02/2016 <br />.06/01/2026 <br />10973.70 <br />1040 <br />12/31/2014 <br />XXX -XX- -2350 <br />11/23/2015 <br />12/23/2025 <br />198.29 <br />1040 <br />12/31/2015 <br />XXX -XX -2350 <br />11/21/2016 <br />12/21/2026 <br />15418.44 <br />• <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 26590.43 <br />Grand Island, NE 68802 -1692 <br />Form 668 (Y)(c) <br />(Rev. February 20041 <br />This notice was prepared and signed at CHICAGO IL , on this, <br />the <br />Mar. 10. 2017 3:49PM <br />Signature <br />16th day of February 2017 <br />for BRYAN 0 FLYNN <br />11874 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Title <br />REVENUE OFFICER <br />(402) 233-7396 <br />No. 3664 F. 4/4 <br />201701551 <br />24- 062706 <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. Rul. 71 -466, 1971 - 2 C.B. 409) Form 669(Y)(c) (Rev. 2 -2004 <br />Part I • ltept By Recording Office r.AT Mn ann -1Gv <br />