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Sep. 11. 2017 3:04FM • NE Secretary of State — UCC --• • <br />Form 669 (Y)(c) <br />(Rev. February 2004) <br />Area <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) B29 - 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 BASILIO LUIS SOSA ABREU <br />Residence <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Kind of Tax <br />(a) <br />1040 <br />11874 <br />604 LAMBERT ST <br />GRAND ISLAND, NE 68801 -2848 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the Tien 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 />Ending <br />(b) <br />12/3 <br />Identifying Number <br />(c) <br />xxx -XX -3410 <br />Serial Number <br />Date of <br />Assessment <br />(d) <br />02/09/2009 <br />275646217 <br />Last Day for <br />Refilling <br />(e) <br />03/11/2019 <br />Place of Filing <br />• Hall POBOX 1692 Total $ <br />Grand Island, NE 68802 - 1692 <br />the 23rd day of August 2017 <br />• N ). 1886 F. 2'3 - <br />20 170 61 5 2 <br />For Optional Use by Recording Office <br />Ste er $i.'. Jahn a Galt - UGC FES <br />9917797742 -6 Par: 1 <br />SOSP QBREU BASILI0 LUIS <br />Filed: 09/11/2017 11:27 FIM <br />Unpaid Balance <br />of Assessment <br />(f) <br />10418.35 <br />10418.35 - <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />Signature alluit- Title <br />ACS W &I <br />f GRAC ANTACRUZ (800) 829 -7650 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tex lien <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) - Form 66e(Y)(c) (Rev. 2 -2004) <br />Parr 1 - Kona IN Rnrnrdln0 Office .... <br />14 -00 -0000 <br />