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State of Nebraska 7/31/2019 3:50:11 PM PAGE 3/005 Fax Server <br />NE Sec of State - Robert B Evnen <br />Filing Document 0: 1907001757-9 Pages. 1 <br />Debtor Name. DONALD G LISKE <br />F 0Lng Date and Iim e. 07/31/2019 10.02 AM <br />201904509 <br />17489 <br />Form 669 (Y)(c) <br />Departete-o of toe Treasury - Internal Revenue Service <br />Notice of Federal Tax Lied <br />Area: Serial Nlifiiber <br />SfdT.I, DOS 98-89-i3OYhi) AXE:A #4 <br />Lien Unit Phone. (HCU) 3:29-39W337139,5010 <br />i -o O;"••rial Lls• by ::,r.^rains <br />As provided by sections 632t, 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 to/lowing-named taxpayer. We have made <br />a demand for payment of this liability, bus 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 at Taxpayer DONALD G LISKE <br />R s fierce <br />12619 r>I CAPITAL AVE <br />WOOD? RIVER. NE 68883-5736 <br />IMPORTANT RELEASE INFORMATION: For ea,1h assassmf.nt ;is -me below, <br />unl sa nOtica of (h_ :ipn is r?tiled by thO Cate ,Diem cn corua)n (4): tthi•S tlOtic:e <br />etha c5EV f<iicwin9such die, operon as ei crrtiii::ete of release as ueFmed <br />in 18(1 6ii25 a). <br />Kind of Tax <br />(a) <br />1040 <br />1040 <br />1(4() <br />i <br />Tax Period <br />Ending <br />(b) <br />12/3:1/20014. <br />12/31/2015 <br />12/31;2016 <br />Identifying Number <br />c) <br />XXX -XX -89944 <br />XXX -XX --8544 <br />XX.< }}:- 8944 <br />Date of <br />Assessment <br />(d) <br />07/10/2017 <br />05/07/2018 <br />02/25/2019 <br />Last Da for <br />Refiling <br />(e) <br />08/09/2027 <br />06/00/202S <br />3/2- 17.9 <br />Unpaid Balance <br />of Assessment <br />G <br />2967. 05 <br />5:044.57 <br />2662 . 21 <br />Pinot; c:'` Filing <br />_ g_T.P.ter of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total <br />10673,83 <br />This notice was prepared and aipned at <br />the <br />23rd 3rd clay of July <br />CHICAGO, IL <br />2019 <br />, on this, <br />Signature <br />ra asp^^. <br />for G.J. CARTER -LOUIS <br />Title <br />?.._S S^SB <br />(800) 829-- 090)3 <br />24-00-0008 <br />:Ni}7T: . Cararicste c,r r ..rat s.th^raed.y k;.- -;',D take <br />n. e <br />.'o tl. .aicsry cir. ed•�alJar, <br />71.466. .J7•r <br />Pan I - 3tept By itecurding Office <br />Fora: 66.6(Y)(c) i8ev. 5-2000; <br />CAT. 00 .-0 2E•\ <br />