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Sep. 13. 2517 3 :33FM NE Secretary ccf State — UCC. <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 !RC 6325(a). <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Refiling <br />(e) <br />11/18/20 <br />11/18/202 <br />11/11/2025 <br />11/11/2 <br />11/11/2025 <br />06/22/202 <br />Tax Period <br />Ending <br />(b) <br />12/31/2 <br />12/31/20 <br />12/31/201 <br />12/31/2013 <br />12/31/2014 <br />12/31/20 <br />Identifying Number <br />(c) <br />XXX -XX - 467 8 <br />XXX -XX -'4678 <br />XXX - XX - 467 8 <br />XXX XX- 4678 <br />XXX -XX -467 <br />XXX -XX -46 <br />Serial Number <br />27713081 <br />10/19/201 <br />10/19/20 <br />10/12/2015 <br />10/12/20 <br />10/12/201 <br />05/23/2016 <br />Kind of Tax <br />(a <br />For Optional Use by Recording Office <br />Form 66B (Y)(c) <br />(Rev. February 2004) <br />11874 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (BOO) 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. ade <br />re, <br />a demand for payment of this liability, but it remains unpaid� gnu to <br />there is a lien in favor of the United States on all property and <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 ELWYNE L MYERS <br />Residence <br />1040 <br />1040 <br />1040 <br />1040 <br />1040 <br />1040 <br />Place of Filing <br />3024 GOLDENROD DR <br />GRAND ISLAND, NE 68801 -8759 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1 <br />This notice was prepared and signed at <br />31st August 2017 <br />the day of <br />CHICAGO, IL <br />Nc. 1915 F. 2/2 <br />20170622 <br />Inc S of 54.la John R 6.1e - UCC iTL <br />9917797947 -0 P9S: 1 <br />MYERS ELWYNE 1- <br />Filed: 09113/2017 WAS AM <br />Total <br />Unpaid Balance <br />of Assessment <br />f) <br />11839.19 <br />10604.33 <br />8788.45 <br />.5897.18 <br />17667.72 <br />3959.32 <br />58756.19 <br />, on this, <br />24 -00 -00 <br />Title <br />Signature / ACS SBSE <br />for G.J. <br />TER -LOUIS (800) 829 -390 <br />lien <br />(NOTE: Certificate of officer euthor{zed by law to take acknowledgment is not essential to the validity aFo m)sb em�) (R v . 2 2004) <br />Rev. Rul. 71 -466. 1971 2 C.B. 409) Part I - Kept By Recording Office CAT. NO 50025X <br />