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909503654 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2507000127-8 Pages: 1 <br />Debtor Name: SHANE .1 HANSEN <br />Filing Date and Time: 07/03/2025 09:1 I AM <br />3005 <br />Form 668 (Y)(c) <br />vU (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 #6 <br />Lien Unit Phone: (B00) 913-6050 <br />Serial Number <br />517775625 <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 SHANE J & TRACY L HANSEN <br />Residence <br />4264 LARIAT LN <br />GRAND ISLAND, NE 68803-222S <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 />1040 <br />1040 <br />1040 <br />1040 <br />Tax Period <br />Ending <br />(b) <br />12/31/2020 <br />12/31/2020 <br />12/31/2021 <br />12/31/2023 <br />Identifying Number <br />(c) <br />XXX-XX-7581 <br />XXX-XX-7581 <br />XXX-XX-7581 <br />XXX-XX-7581 <br />Date of <br />Assessment <br />(d) <br />10/25/2021 <br />05/02/2022 <br />10/17/2022 <br />11/18/2024 <br />For Optional Use by Recording Office <br />LasR?ft for <br />(e) <br />11/24/2031 <br />06/01/2032 <br />11/16/2032 <br />12/18/2034 <br />alance <br />of Assepaid ssment <br />(0 <br />17711.09 <br />14447.69 <br />35004.03 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total $ <br />67162.81 <br />This notice was prepared and signed at CHICAGO, IL <br />the 09th day of June 2025 <br />, on this, <br />Signature <br />Title <br />REVENUE OFFICER <br />for ABBY ALLEN (402) 473-4627 <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. Flu!. 71-466, 1971 - 2 C.B, 409) Form 668(Y)(c) (Rev. 2-2004) <br />Part I - Kept By Recordng Office CAT. NO 60026X <br />26-14-4813 <br />