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Apr. 12. 2019 3:04AM NE -..:.rotary :f State — UCC <br />2N0 *02f0$8 <br />NE Sec of State - Robert B. Ernen <br />Piling Document 8 1904000900-5 Pages: I <br />Debtor Num`: OCTAVIO VENEOAS-RODRIQUEZ <br />Filing Dere end Time: 04/12f2019 I I:34 AM <br />668 (Y) <br />Form b,uery :aper <br />nig v. Faor <br />17489 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA p6 <br />Lien Unit Phone. (Boo) 913-6050 <br />Serial Number <br />346735519 <br />For Optional Use by Recording Office <br />As provided by section 6321, 632.2, and 6323 of the interna( Revenue <br />Code, we are giving a notice that taxes (including Interest and penalties) <br />have been assessed against the following -named taxpayer. We have made <br />a demand for payment of this liability, but It remains unpaid. Therefore, <br />there is a hen in favor of the United States on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, Interest, and costs that may accrue. <br />Name of Taxpayer OCTAVIO VENEGAS-RODRIQURG <br />Residence 1424 R 7TH ST <br />GRAND ISLAND, NB 68B01-2922 <br />IMPORTANT RELEASE INFORMATION1 For each oseesament listed below. <br />unless notice of the lien is refiled by the data given In column (e), this notice shed, <br />on the day allowing such data, operate as a certificate of release es defined <br />in IRC 6326(a), <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />Of) <br />identifying Number <br />(c) <br />Date of <br />Assessment <br />,d) <br />Last bay for <br />Raffling <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />1040 <br />12/31/2017 <br />XXX -XX -0762 <br />12/10/2018 <br />01/09/2029 <br />7761.62 <br />Place of Filing <br />Register of Deede <br />Hall POBOX 3.692 Total <br />Grand Inland, NE 68802-1692 <br />$ 7761.62 <br />This notice was prepared and aigned et <br />CHICAGO, IL , on this, <br />the 13th day of March 2019 <br />Signature � r i ie <br />REVENUE OFPICER <br />for DANI>(!,E L PLATT (402) 473-4675 <br />26-15-2720 <br />INOTE: Certificate of olfloor autho(ized by law no take acknowledgment is not eseontlel to the validity of Notice of Federal Tax lion <br />Rov. Rul. 71-466, 1971 - 2 C.6. 409) Form 669(Y)(c) (Rev. 2-20041 <br />Part I • tern By Recording Office <br />CAT. NO 60025X <br />