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202503655 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2507000128-7 Pages: I <br />Debtor Name: SHANE J HANSEN <br />Filing Date and Time: 07/03/2025 09:14 AM <br />3005 <br />Form 668 (Y)(c) <br />IRay. 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: (800} 913-6050 <br />Serial Number <br />517775825 <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 SHANE J HANSEN <br />Residence 4264 LARIAT LN <br />GRAND ISLAND, NE 68803-2225 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is ref iled by the date given in column (e), 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 />Reiing <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />1040 <br />1040 <br />1040 <br />12/31/2016 <br />12/31/2017 <br />12/31/2018 <br />XXX-XX-7581 <br />XXX-XX-7581 <br />XXX-XX-7581 <br />11/20/2017 <br />03/04/2019 <br />11/18/2019 <br />12/20/2027 <br />04/03/2029 <br />12/18/2029 <br />4961.25 <br />12965.25 <br />15954.27 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 33880.77 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the 09th day of June 2025 <br />Signature Re <br />REVENUE OFFICER <br />for ABBY ALLEN (402) 473-4627 <br />26-14-4813 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tee lien <br />Rev. Rul. 71.466, 1971 • 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004) <br />Part I - Kept By Recording Office CAT. NO 60025X <br />