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Dec. 6. 2013 :46FM NE Secretary ct State <br />4,.§0789 <br />NE Sec of91ate. Jolla A. G k <br />Filing Document #; 1812000330-2 Pages: 1 <br />DeMor Name; P SANCHEZ <br />Filing Dale mad Titov: 12/061201t 10:43 AM <br />Form 668 (Y)(c) <br />Mew. February m(7a) <br />11874 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: <br />Serial Number <br />For Optional Use i>y Recording Office <br />SMALL BUSYNESS/SELF EMPLOYED ARBA #4 <br />Lien Unit Phone: (soul 829-9909 <br />334785818 <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 asse sed against the following -named taxpayer. Mfe 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 F SANCHEZ & A G NZALES-DItIZUELA <br />Residence 1920 W 10TH ST <br />GRAND ISLAND, NE 68803-3703 <br />IMPORTANT RELEASE INFORMATIONt For each assessment listed below, <br />unless notice of the lien is reified by the date given In column je), this notice shall, <br />on the day following such date, operate as a certificate of release ae defined <br />In IRC 6325(a). <br />Tax Period <br />• Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Ref ping <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/2011 <br />XXX -XX -9713 <br />05/23/2016 <br />06/22/2026 <br />722.25 <br />1040 <br />12/31/2014 <br />XXX -XX -9713 <br />10/03/2016 <br />11/02/2026 <br />669.29 <br />1040 <br />12/31/2015 <br />XXX -XX -9713 <br />07/02/2018 <br />08/01/2028 <br />10488.53 <br />1040 <br />12/31/2016 <br />Y7O -XX-9713 <br />07/02/2018 <br />08/01/2028 <br />7716.21 <br />Place of Filing <br />Register of Deeds <br />Hall POEOX 1692 Total <br />$ 19596.28 <br />Grand Island, NE 68602-1692 <br />This notice was prepared and signed at CHICAGO, IL <br />the 231'd day of November 2018 <br />Oh thi8, <br />Signature �, ,A - <br />Il 989E <br />for G.J. (AFZTER-LOUIS (800) 829-3903 <br />24-00-0008 <br />(NOTET Certificate of officer authorized by law to take aaknowiedpmanz is not acsentlai to tho validity of Notice of Federal Tax oar. <br />Hov. Ani, 71466, 1971 - Z C.B. 4091 <br />Pert I - Ka By Recording Otnce Form 64801(c) (Rev. 2-20041 <br />CAT. No 60025X <br />