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20190733' <br />NE Sec of State - Robert R. Evnen <br />Filing Document #: 1911001168-4 Pages: 1 <br />Debtor Name: JOHN A REAL <br />Filing Datc and Time: 11/20/2019 01:40 PM <br />Form 668 (Y <br />_ <br />(RAyFebruary 3004i O4i <br />17505 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: <br />Serial Number <br />For Optional use by Recording Office <br />WALE & INVESTMMENT AREA #2 <br />Lien Unit Phone: (800) 829-7650 <br />392229119 <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 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 Taxpayer JOHN A & DIANE S BEAL <br />Residence 200 E US HIGHWAY 34 APT 2060 <br />GRAND ISLAND, NE 68801-9717 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is reflled by the date given in column tel, this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />Tax Period <br />Date of <br />Last ppaayy for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Renting <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/2007 <br />00000 <br />CO CO CO CO CO <br />rrC NC- <br />cV NSSIN fY <br />05/06/2013 <br />06/05/2023 <br />2008.75 <br />1040 <br />12/31/2008 <br />04/22/2013 <br />05/22/2023 <br />516.48 <br />1040 <br />12/31/2010 <br />04/29/2013 <br />05/29/2023 <br />642.92 <br />1040 <br />12/31/2011 <br />08/29/2013 <br />09/28/2023 <br />1837.51 <br />1040 <br />12/31/2012 <br />04/17/2017 <br />05/17/2027 <br />4021.85 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 9027.51 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at CHICAGO, IL <br />the <br />12th day of November 2019 <br />Signature <br />Title <br />ACS W&I <br />for GRACE SANTACRUZ (800) 829-7650 <br />, on this, <br />14-00-0000 <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. flu). 71-466, 1971 - 2 C.O. 409) Form 668(Y)(c) (Rev. 2-20041 <br />Part 1 - Kept By Retarding Office CAT. NO 60025X <br />