Laserfiche WebLink
202363913 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2306000743-3 Pages: I <br />Debtor Name: ROBIN L HENDRICKSEN <br />Filing Date and Time: 06/27/2023 10:55 AM <br />3008 <br />Form 668 (Y)(c) <br />Me, February 20041 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA 44 <br />Lien Unit Phone: (800) 913-6050 <br />Serial Number <br />473955923 <br />For Optional Use by Recording Oftic <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 alt 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 ROBIN L HENDRICKSEN <br />Residence <br />3531 CURRAN AVE <br />GRAND ISLAND, NE 68803 <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 ollowing 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 />12/31/2018 <br />XXX -XX -4197 <br />06/10/2019 <br />07/10/2029 <br />13997.00 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 13997.00 <br />This notice was prepared and signed at <br />the <br />CHICAGO, IL <br />Olst June 2023 <br />day of <br />, on this, <br />Signature <br />for D.J. RAMSEY <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. Rol. 71.466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004) <br />Part t - Kept By Recording Office CAT. NO 60026X <br />