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May, 18. 2(18 3: 32FM <br />30604211 <br />IMPORTANT RELEASE INFORMAT10N- For each assessment listed low, <br />unless notice of the lien is refiled by the date given in column (e), nt <br />on the day following such date, operate es e certificate of release as defined <br />in IRC 6325(a). <br />Tax Period <br />Ending <br />(b <br />12/31/2 <br />Identifying Num1`.!r <br />(c) <br />XXX - XX - 4642 . <br />Date of <br />Assessment <br />d) <br />02/12/20 <br />last for <br />R <br />e) <br />03/13/ <br />Kind of Tax <br />(a) <br />For Optional Use by According Office <br />Form 668 (Y)(c) <br />(Rev February 2004) <br />Area: <br />SA L BUSINESS/ SELF EMPLOYED AREA 2 <br />Lien Unit Phone: (800) 913-6050 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />to a notice that taxes <br />we are giving xes (including interest and penalties) <br />We have made <br />have been for payd ent liability, � but it remains unpaid. Therefore, <br />a demand for pnY <br />there r s a lieo in f favor his the for the amount property <br />taxes, nd <br />property belonging <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer ANTHONY D BROWN <br />Residence <br />1040 <br />Place of Filing <br />11874 Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />111 E 19TH ST HE 68901 -2311 <br />GRAND ISLAND. <br />This notice was prepared and signed at <br />25th day of April <br />the <br />NE '$ecretary of Stat.. — UCC <br />Serial Number <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -16 <br />!AAA- <br />2018 <br />CHICAGO, IL <br />Title <br />ACS W &I <br />(800) 829 - 765 0 <br />\H 4415 F. 3 <br />'.201803163 <br />Zoo of S5®4e Jo/.n A GAIe - uCC PIL <br />r 1 <br />9918811 ®39 -4 PAH: 1 <br />BROWN ANTHONY D <br />FiLod: OS/1e/20tB 02 :28 PM <br />Total <br />Unpaid Balance <br />of Assessment <br />5618.15 <br />5618.1 <br />, on this, <br />14 -00 -00 <br />Signature <br />(NOTE: GRAC ANTACRUZ <br />e 1 officer is not essential to the validity of Notice of Federal Tex lien <br />AT- 60 26X <br />Rev. 71-466, 1972 C.B. 409) V. ed by law to take acknowledgment <br />v..� t . at By Recordhut Office Form 669(1 (Rev. ) <br />