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202000721 <br />NESec of State - Robert B. Evnen <br />Filing Document #: 2001001677-6 Pages: 1 <br />Debtor Name: TIMOTHY MCMULLEN <br />Filing Date and Time: 01/30/2020 11:21 AM <br />oB <br />Form 668 (Y)(c) <br />Me... February 20041 <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 />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829-3903 <br />403390320 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including biteresc 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 TIMOTHY MCMULLEN <br />Residence 819 W 12TH ST <br />GRAND ISLAND, NE 68801-3718 <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 ollowing 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 />Refiring <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />CIVP <br />12/31/2016 <br />XXX -XX -0240 <br />05/21/2018 <br />06/20/2028 <br />1037.77 <br />CIVP <br />03/31/2017 <br />XXX -XX -0240 <br />12/12/2018 <br />01/11/2029 <br />4075.69 <br />CIVP <br />06/30/2017 <br />XXX -XX -0240 <br />05/21/2018 <br />06/20/2028 <br />3219.76 <br />CIVP <br />09/30/2017 <br />XXX -XX -0240 <br />05/21/2018 <br />06/20/2028 <br />3964.78 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 12298.00 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at <br />CHICAGO, IL <br />the 16th day of January 2020 <br />Signature <br />for G.J. CARTER -LOUIS <br />Title <br />ACS SBSE <br />(800) 829-3903 <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) <br />on this, <br />24-00-0008 <br />Part 1 - Kept By Recording Office <br />Form 668(Y)(c) (Rev. 2-20041 <br />CAT. NO 60025X <br />