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Jan. 14. 2019 4:41FM NE Secretary of Stag <br />201900295 <br />No. 166 <br />NE See of Stale - Robert B. Evaeo <br />Filigp Document #: 1901000942-4 Pages: 1 <br />1SrLwt Nowt: JASON R VEIDFR. <br />Piling Rate and Time: 01/11/2019 03.10 PM <br />J --- <br />elev. Mt <br />11874 <br />Department of the Treasury - Internal Revenue Service <br />Nodee of Federal Tax Lien <br />Area: <br />SMALL Bt19INE88/BSLF EMPLOYED DYED VOA #4. <br />Lien Unit phone: (800) 829-3903 <br />Serial Number <br />• 336477218 <br />fur Oedema) use bbRecordIng Mee <br />• <br />As provided by section 6321, 6322, and 6323 of the internal Revenue <br />• Code, we are g1Vhtg a notice that taxes (including interest and penalties) <br />have been messed against the rollow(n 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 an all property and rights to <br />property belonging to this taxpayer for the amount of these totes, and <br />additional penalties, Intermit, and acts brat may accrue. <br />Name of Taxpayer JASON R. VEBt RR <br />Residence 135 A RD <br />GRAND ISLAND, NB 68801--0316 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />(thus netts of the pen Is reflted by the deice given in column (el, this notice shell, <br />on the day following such date, operate as a certificate of release as defined <br />In IRC 6326(a)• <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(i) <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Retuning <br />(a) <br />Unpaid Balance <br />of Assessment <br />' (tl <br />1040 <br />12/31/2008 <br />XXX-xx-7116 <br />05/21/2012 <br />06/20/2022 <br />15362.47 <br />Place of piling <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802--1692 <br />d 15362.47 <br />This notice was prepared ansigned at CHICAGO, IL , on this, <br />the 14th day of December 2018 <br />Signature /1„ . Title <br />ACS SBS <br />for G. J._ AARTER-LOUIS (800) 829-3903 <br />MOTE: Cerdfcete of officer authorized by law to lake ealmowlademept Is not essential to the Micky or Novae of Federnl Tax flea <br />gm/. PO. 71-466,1971 -2 C-11400) <br />Pan 1. - got Xi RemYdtoB Office Farm 660(Y)(c) (Rev. 2-20041 <br />CAT. No 60025X <br />24-00-0008 <br />