201705711 - Laserfiche WebLink

Browse

Aug. 23. 2017 4:26FM. NE Secretary of State — UCC Serial Number 2731262 IMPORTANT RELEASE INFORMATION: For each 'assessment h listed e a e h W , unless notice of the lien is refiled by the date given in column (e), on the day following such date, operate as a certificate of release as defined in IRC 6325(&- identifying Number c) XXX -XX -419 XXX -XX -4197 Date o Assessment d) Last Da, for Belng Kind of Tax (a) For Optional Use by Recording Office Residence 1040 1040 place of Filing the 11874 Revenue Service Department of the Treasury Notice of Federal Tax Lien Form 668 (Y)(c) (Rey. February 20041 SMALL BUSINESS /SELF EMPLOYED AREA Area: Lien Unit Phone: (900) 029 -3903 As provided by section 6321, 6322, and 6323 of the Internal penalties) Code, we are giving a notice that taxes (including interest n have made have been assessed against the following-named ut taxpay a demand for payment of this liability, it remains Th erefore, property and rights unpaid. to there is a lien in favor of the United f States amount f these taxes,, and property belonging to this taxpayer accrue. additional penalties, interest, and costs that may Name of Taxpayer ROBIN L ITENDRICKSEN 2514 N WEBB RE NE 68803-1338 GRAND ISLAND, This notice was prepared and signed at 03rd Au day of Register of Deeds Hall POBOX 169E 68802 -1692 Grand Island, 2017 CHICAGO, IL N 7 i) F 2 0 0 5'l . of Sk.k• John A y dole - uce 01 1- sew Pet � 991779 - 6 H< l- O�E2312017 01:42 Pri Fla•6 Total Unpaid Balance of Assessment (f) 19680. 15782. 35463.42 on this, 24 -00 - � Title Signature • „ / ACS SBSE (800) 829 -3903 , ' TER -LOUIS of Notice o f Federal Tax lien f O) G T J. law to take ac k n owledgment is not es sential to the validity a (Rev. lien Farm 669(lf)( ) (NOTE: Certificate of officer authorized b y ding Office Farm B 60 250 / Rev. Rul. 71 466, 1971 - 2 C.B. 4091 Part t - Keys By Recording