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Residence <br />Kind of Tax <br />(a) <br />1040 <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />Feb.28. 2018 3:29FM NE Secretary of State — UCC No. 3565 F. 2/2 <br />Place of Filing <br />the <br />Signature <br />Tax Period <br />Ending <br />(b) <br />11874 <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Name of Taxpayer KENNETH & ANNE PILSL <br />12/31/2016 <br />XXX :`{X -9844 <br />14th day of February 2018 <br />for G.J. GARTER- LOUIS <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Identifying Number <br />(c) ... <br />Serial Number <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 />711 SAGEWOOD AVE <br />GRAND ISLAND, NE 68803 -4917 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lion 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 />Date of <br />Assessment <br />(d) <br />11/14/2017 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />2971230113 <br />Title <br />ACS SBSE <br />(800) 829 -3903 <br />Part 1 - Kept By Recording Office <br />Last Day for <br />Refing <br />(e) <br />For Optional [Jae by Recording Office <br />Ng lac or <br />12/14/2027 <br />9918808901 -8 Pee. <br />PILSL KENNETH <br />Filed; 02/2131201B 11 :15 AM <br />201801218 <br />Sieie Jahn A e.l. - UCC FTL <br />�VI�II�NI <br />Unpaid Balance <br />of Assessment <br />(f) <br />100957.48 <br />Total $ 100957.48 <br />This notice was prepared and signed at CHICAGO, IL , 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. Rul_ 71 -466, 1971 - 2 C.13. 409) Form 668(Y)(c) (Rev. 2 - 2004 <br />CAT. NO 60025X <br />