Laserfiche WebLink
NE Scc of State - Robcn B. Evnen <br />Filing Document #: 1909001294-3 Pages: 1 <br />Debtor Name: JASON C LAWHORNE <br />Filing Date and Time: 09/26/2019 10:23 AM <br />201905932 <br />17489 <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829-3903 <br />Serial Number <br />379694319 <br />For Optional Use 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 ail 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 JASON C LAWHORNE <br />Residence 339 S OAK ST <br />GRAND ISLAND, NE 68801-7839 <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 shall, <br />on the day oflowing such date, operate as a certificate of release as defined <br />in IRC 6325(a(. <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 />Refilling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/2011 <br />XXX -XX -0229 <br />08/20/2018 <br />09/19/2028 <br />36473.95 <br />1040 <br />12/31/2012 <br />XXX -XX -0229 <br />07/16/2018 <br />08/15/2028 <br />40986.27 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ <br />77460.22 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at <br />the <br />CHICAGO, IL <br />06th day of September 2019 <br />, on this, <br />Signature <br />for G.J. CARTER -LOUIS <br />Title <br />ACS SBSE <br />(800) 829-3903 <br />24-00-0008 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-20041 <br />Part 1 - Kept By Recording Office CAT. NO 60025X <br />