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Dec. 6.2013 46FM NE Secretary of State <br />20180786 <br />No. 1459 F. <br />NE Sec otSlate -John A Ogle <br />Filing Documnet i9: 1812000329-6 Pages: 1 <br />Debtor Name: 70AN"V HARRIS <br />1 vio¢ Debt and rime: 12402018 10:42 AM <br />Form 66February <br />(Rev. Fehurrary 20041 <br />20 41 <br />11874 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: <br />siAc3B & INVEsretR7T AREA 02 <br />Uen Unit Phone: (two) 829-7659 <br />Serial Number <br />33432 0219 <br />Fpr Optional t$w by Reaordino Mae <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice chat razes (Including interest and penalties) <br />have been assessed against the following -named taxpayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there is a lien In favor of the United States on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, Interest, and costs that may accrue. <br />Neale of Taxpayer Jb1IN W ft KAP.I LYNN HARRIS <br />Residence 103 W 23RD ST <br />GRAND ISLAND, NE 68801-2336 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of ttte (ten Is refiled by the date givers in column fel, this wailer( shalt, <br />on the day following such date, operate as a certificate of release ae defined <br />in IRC 6325(a). <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />last Daayy for <br />Rtfdlog <br />(e) <br />Unpaid Balance <br />of Assessment <br />(l) <br />1040 <br />1040 <br />12/31/2016 <br />12/31/2017 <br />X)7 -XX -7794 <br />XXX -XX -7794 <br />07/17/2017 <br />06/04/2019 <br />08/16/2027 <br />07/04/2028 <br />1026.58 <br />1956.46 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 2963.04 <br />This notice was prepared and signed at CHICAGO, IL <br />the 22nd day of November 2018 <br />Signature. Title <br />ACS w&z <br />for l3RP.C1 3ANTACRtT (000) 1129-7650 <br />(NOTE; Carlifk-ate of otrlcor eulharraed by law 10 take ocknowledgment fs not ersenilrl to the velidlty of Notice of Fedtfal Tax lien <br />Rev. Rul. 71-488, 1971 - 2 CA- 4091 <br />, on this, <br />14-00-0000 <br />PM( - Kept ay Recordlnt Office <br />Form 66e(Y)(C) (Rev, 2-2004) <br />CAT. No sp0Z.6X <br />