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Nov, 00. 2017 0:55 FM NE Secretary of State — UCC - Na. 2720 F. 4/6 <br />Form 668 (Y)(c) <br />(Ray. February 2004) <br />Area: Serial Number <br />SMALL BUSINESS /SELF EMPLOYED AREA #6 <br />Lien Unit Phone: (800) 913 - 6050 <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 BOBBY D & JENIFER A LEETCH <br />Residence <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 />Kind of Tax <br />(a) <br />Place of Filing <br />This notice was prepared and signed at <br />the <br />1040 <br />1040 <br />1040 <br />1040 <br />1040 <br />550 3RD RD <br />GRAND ISLAND, NE 68801 -0313 <br />Tax Period <br />Ending <br />(b) <br />12/31/2008 <br />12/31/2011 <br />12/31/2013 <br />12/31/2014 <br />12/31/2014 <br />16 th day of November 2017 <br />11290 <br />Identifying Number <br />(c) <br />XXX -XX - 80 11 <br />XXX -XX -8011 <br />XXX -XX - 80 11 <br />Xxx —XX -8011 <br />XXX -XX - 8011 <br />acv <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Date of <br />Assessment <br />(d) <br />05/18/2015 <br />10/19/2015 <br />12/14/2015 <br />12/14/2015 <br />08/14/2017 <br />Register of Deeds <br />Hall. POBOX 1692 <br />Grand Island, NE 68802 <br />CHICAGO, IL <br />286564717 <br />Last Day for <br />Retl ng <br />(e, <br />06/17/2025 <br />11/18/2025 <br />01/13/2026 <br />01/13/2026 <br />09/13/2027 <br />Title <br />REVENUE OFFICER <br />(402) 473 -4671 <br />201'7081ga <br />For Optional Use by Recording Office <br />NE 5.c of 5 }.il. John P <br />Gott - UcC FTL <br />99176023®7-2 P ®s: <br />LEETCH BOBBY D <br />Filed: 11!3012 017 12:04 PM <br />Total <br />Unpaid Balance <br />of Assessment <br />(f) <br />5330.48 <br />1391.63 <br />3171.05 <br />53421.01 <br />63314.17 <br />, on this, <br />26-15-2722 <br />Signature <br />for COLB7SCHWAN <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. 4091 Form 869(Y)(0 (Rev. 2-2004) <br />.T .u. ennocv <br />