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Air, 9. 2019 3:27FM NE-_"r-t.ry =f State <br />201902.032 <br />Til_ See of 9aic - aoben 8. arum <br />Filing Document #: 1904000677-0 Pages: I <br />Debtor Moe: LUIS A SEPJ.4UAFZ <br />Filing Date and Time: 0M09/201911:51 AM <br />17489 <br />Form 668 (Y)(c) <br />leer. February 200.1 <br />(Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area; <br />BPIALL BUSINESS/SELF EMPLOYED AREA 144 <br />Lien Unit Phone: (Boa) 825.3903 <br />Serial Number <br />346079719 <br />For Optional Urs by Recording Office <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 it remains unpaid. Therefore, <br />there Is a Ilen 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 LOIS A Si SANDRA S BERMCTDEZ <br />Residence 529 wALDO AVE <br />GRAND ISLAND, NE 68303-4338 <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 shell, <br />on the day ollowing such date, operate as a certificate of release as defined <br />in IPC 6325(e), <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 />Reining <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(fl <br />1040 <br />12/31/2014 <br />XXX -XX -0735 <br />08/06/2018 <br />09/05/2028 <br />14074.07 <br />1040 <br />12/31/2015 <br />XXX -XX -0735 <br />07/30/2018 <br />08/29/2028 <br />29223 .09 <br />1040 <br />12/31/2016 <br />XXX -XX -0735 <br />07/30/2018 <br />08/29/2028 <br />57585.83 <br />Place of Filing <br />Register of Deeda <br />Hall POBOX 1692 Total <br />t <br />100882 _ 99 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at CHICAGO, IL <br />the <br />07thday o(. March <br />2019 <br />on this, <br />Signature <br />for G.U. ((TARTER -LOUTS <br />Tide <br />ACS SBSE <br />(800) 829-3903 <br />24-00-0008 <br />jnr07E: cerci fiesta of orricer authorimd by law t0 take ar:knowletgmenr Ie not essential Io the validity of Notice of Federal Tax lion <br />Rev, Rvl. 71..66, 1951 - 2 C.O. 4091 <br />Form 668(Y)(c) IRev. 2-20041 <br />CAT. NO 60026X <br />Parc I - Item By Recording office <br />