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Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (BOO) 829 -3903 <br />Serial Number <br />278245317 <br />For Optional Use by Recording Office <br />ME Lac <br />or <br />State <br />John <br />" '' <br />' <br />A abler <br />,. <br />- <br />. <br />uCC erL <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 />- <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />89l7798479 <br />-8 <br />a <br />' <br />Pas : <br />there Is a lien in favor of the United States on all property and rights to <br />GEISER MATTHEW <br />property belonging to this taxpayer for the amount of these taxes, and <br />jlad: 09/21l2017 0228 PM <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer MATTHEW & LISA M GEISER <br />Residence 4196 TEXAS AVE <br />GRAND ISLAND, NE 68803 -1054 <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 />i n !RC 6325(a)_ <br />Tax Period <br />Date of <br />Last 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 />(fl <br />1040 <br />12/31/2014 <br />XXX -XX -1914 <br />11/16/2015 <br />12/16/2025 <br />1040 <br />12/31/2014 <br />XXX -XX -1914 <br />04/24/2017 <br />05/24/2027 <br />4235.57 <br />1040 <br />12/31/2015 <br />XXX -XX -1914 <br />11/28/2016 <br />12/28/2026 <br />51065.08 <br />• <br />Place of Filing <br />.Register of Deeds • <br />Hall POBOX 1692 Total <br />$ 55300.65 <br />• Grand Island, NE 68802 -1692 <br />the <br />472 5.2.21. 2117 4:12PM NE Secretary pf 'State — UCC <br />form 668 (Y)(c) <br />(Rev. February 20041 <br />This notice was prepared and signed at <br />08th day of September 2017 <br />Signature <br />11874 <br />for G.J. TER - LOUIS <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />CHICAGO, IL <br />Title <br />ACS SBSE <br />(800) 829 -3903 <br />2556 F. <br />201706403 <br />on this <br />24 -00 -0008 <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. Rule 71 -466, 1971 2 C.B. 409) Form 668(Y)(c)" (Rev. 2 -2004) <br />Part l - Kept By Recording Office r -r Min CM /FY <br />11 ..r.• <br />