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Apr. 11. 2018 3: 4PN1 NE Secretary of Stat <br />©S <br />Form 668 (Y)(c) <br />(Rev. Fobru1ry 20041 <br />Residence <br />Kind of Tax <br />(a) <br />1040 <br />Place of Filing <br />Signature <br />f or DANI <br />11874 <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #6 <br />Lien Unit Phone: (800) 913 - 6050 <br />Name of Taxpayer JAMES H TRUELL <br />Tax Period <br />Ending <br />(b <br />12/31/2015 <br />the 02nd day of April , 2018 <br />E L PLATT <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Serial Number <br />903 W DIVISION ST <br />GRAND ISLAND, NE 68801 -6451 <br />Identifying Numb <br />c) <br />XXX -XX -6144 <br />Date of <br />Assessment <br />(d) <br />02/19/2018 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />302875418 <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 k 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 />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 />Last Day for <br />Refling <br />e <br />03/20/2028 <br />Title <br />REVENUE OFFICER <br />(402) 473 -4675 <br />ND. 0320 P. 2/ 2 <br />For Optional Use by Recording Office <br />►�l s == vt !isle John R Oats - YCC FTL <br />9918809310 —B Pays <br />TRUELL JAMES H <br />Fi1ed: 04111/2019 11:04 AM <br />Total <br />201802301 <br />Unpaid Balance <br />of Assessment <br />(f) <br />12248,13. <br />$ 12248.11 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />26 -15 -2720 <br />(NOTE:' Certificate of officer authorized by law to take acknowledgment is 'not .essential to the validity of Notice of Federal Tax lien <br />Ray. Rul. 71 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2 -2004) <br />Part 1 - Kept By Recording Offke CAT. NO 60026X <br />