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State of Nebraska 7/30/2019 5:22:35 PM PAGE 3/007 Fax Server <br />NE Se: et State - Robert B. Evnen <br />Filing Document k: 1907001503-3 Pages: 1 <br />Debtor Name MARTIN FLEMINO <br />Filing Date and lore 07/30/2019 09.42 AM <br />20190447. <br />:17642 <br />Form 668 (Y)(c) <br />Deportment of the Treasury • interna: Rrfvenuo Service <br />Notice of Federal Tax Lien <br />Area: Ser1a: Number <br />SMALL L 3USIEtiLiSR/ SELF EMFL,Oy$D �L2EA i r: <br />Lien Girth. Phone: (Sue) '.31.:!-6059 <br />367390119 <br />Fcr Gpt>atf <br />xc: L'. frnc:p.,an'q (1{4-; R <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, Istat 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 Ta>payer MAR `F'_"N '.LENIING <br />Residence; <br />3 ra 19 CURR I. CT APT 4 <br />GRAND ISLAND, GSfE03--1242 <br />IMPORTANT RELEASE INFORMATION: For each asses rrr;,rt fisted be?e.v, <br />notice of the Tian is Cefi:et; try the date giyeit is coicrnn ie?, thin n-Aic;e: <br />en tf)> d>,; f:nilc.vin4 such date, operate. as a c rrifici,'O t,g re3eese es defined <br />,e 3RJ. 532Eiia;. <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />104 f1 <br />12/31/2018 <br />Identifying Number <br />(c) <br />XXX -XX -4843 <br />Date of <br />Assessment <br />(d) <br />T6/03/2019 <br />Last Day for <br />RetTlmg <br />(e) <br />0'?/02/2029 <br />Unpaid Balance <br />of Assessment <br />(0 <br />41519.39 <br />Place v: Fi?ince <br />RegLate.r of Deed. a <br />Hall POD' -OX 1692 <br />Grand Iiaiand, NE •68802-1€92 <br />Total <br />a 4'1519.}3r <br />This Dotfce was „re3 ared end skirled Et _ OHTI.ACaO, .1:Lr <br />car thi<;, <br />the <br />02 d d,:V l of July 2019 <br />Signatu:ri � r fr .� ! •' ftie <br />.+(�✓x -L""' <br />REVENUE OPP EC1SR <br />101: CAROL HALL (402} 473-4673 <br />26-1?i-2732 <br />f?hlY E Lear iific:r?..^. of cafL-' :2 :Itt,dtc:d ;,y la.v to tak ac Rtsevaied9nrtird is rbr rs&@nrO,' t:' ^•P t at:n0'' of Notice Of Fodein: Tax :oto <br />.- .:fol. /i.alGf: i971 - 2 <br />I'',trt - Kept Sr Retarding Office Fcr-' 66$(Y)(c) <br />-CAT. rvf a,. r2rxr. <br />