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NE Sec of State - Robert R. Evnen <br />Filing Document #: 1912001366-3 Pages: 1 <br />Debtor Name: HARRY PREISENDORF <br />Filing Date and Time: 12/27/2019 10:56 AM <br />20190815E <br />Form 668 (Y){c) <br />tlte,,. February 2004) <br />17505 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA #6 <br />Lien Unit Phone: (800) 913-6050 <br />Serial Number <br />396790319 <br />For Optional Use by Recording Office <br />As provided by secdon 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penahks) <br />have been assessed against the following -named taxpayer. We have made <br />a demand for payment of dtis 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 HARRY & ALICIA PREISENDORF <br />Residence 7815 SKY PARK RD <br />GRAND ISLAND, NE 68801-9120 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (el, this notice shall, <br />on the day following such date. operate as a certificate of release as defined <br />in IRC 6325(a). <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />ldemifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last D for <br />Ref g <br />(e <br />Unpaid Balance <br />of Assessment <br />(+ <br />1040 <br />12/31/2018 <br />XXX -XX -0707 <br />10/14/2019 <br />11/13/2029 <br />280728.37 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 280728.37 <br />This notice was prepared and signed at _ _ CHICAGO , IL on this, <br />the 06th day of December 2019 <br />Signature <br />for COLBY SCHWAN <br />Title <br />REVENUE OFFICER <br />(402) 473-4671 <br />26-15-2722 <br />(NOTE: Certificate of officer authorized by raw to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rol. 71-466, 1971 - 2 Q.B. 4091 Form 668(Y)(c) {Rev. 2-2004) <br />Part 1 - Kept By RecordIn8 Office CAT. NO 60025X <br />