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2024021gt <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2405000457-9 Pages: 1 <br />Debtor Name: MANUEL A PEREZ CURBELO <br />Filing Date and Time: 05/16/202409:13 AM <br />5829 <br />Form 668 (X)(c) <br />(Rev. February 20041 <br />Department of the Treasury - internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829-3903 <br />Serial Number <br />492768824 <br />For Optional Use by Recording Office <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 MANUEL A PEREZ CURBELO <br />Residence 409 W LOUISE ST <br />GRAND ISLAND, NE 68801-6521 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is raffled by the date given in column (e), this notice shall, <br />on the day allowing such da e, operate as a certificate of release as defined <br />in IAC 63251a1. <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 />Refiling <br />of Assessment <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/2022 <br />XXX -XX -2699 <br />08/14/2023 <br />09/13/2033 <br />15616.60 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ <br />15616.60 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the <br />30th day of April 2024 <br />Signature %,1 f e <br />ACS SBSE <br />for D.J. RAMSEY (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 lion <br />Rev. Rul. 71-466, 1971 - 2 C.B, 4091 Form 668(Y)(c) (Rev. 2-2004) <br />Part I - Kept By Recording Office CA7. NO 60025X <br />