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5/17/2023 3:27:29 PM
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5/17/2023 3:27:29 PM
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202302398
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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2305000603-7 Pages: 1 <br />Debtor Name: YERAL R MENENDEZ <br />Filing Date and Time: 05/17/2023 09:19 AM <br />202302398 <br />3005 <br />Form 668 (Y)(c) <br />ay. February 20041 <br />Department of the Treasury - internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA ff4 <br />Lien Unit Phone: (800) 913-6050 <br />Serial Number <br />471851823 <br />For Optional Use by Recording Oftice <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 YERAL R MENENDEZ <br />Residence <br />4717 GUNBARREL PL <br />GRAND ISLAND, NE 68801 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lion is ref iled by the date given in column (a), 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 />identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Refiling <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />1040 <br />12/31/2021 <br />XXX -XX -2515 <br />03/20/2023 <br />04/19/2033 <br />102563.11 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 102563.11 <br />This notice was prepared and signed at CHICAGO, IL <br />the <br />21st day of April <br />2023 <br />, on this, <br />Signature et Ce <br />ACS <br />ACSBSE <br />for D.J. RAMSEY (800) 829-3903 <br />24-00-0008 <br />€NOTE: Certificate of officer authorized by law to take acknowledgment is nut essential to the validity of Notice of Federal Tax ben <br />Ray. Rut. 77.466, 1971 2 C.8. 409E <br />Form 668(Y)(c) NRov. 2-20041 <br />Part I - Kept By Recording Office <br />CAT. NO 60025X <br />
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