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NE Sec of State - Robert B. Evnen <br />20250439 <br />Filing Document #: 2508000469-0 Pages: 1 <br />Debtor Name: OSCAR M GOMEZ <br />Filing Date and Time: 08/08/2025 12:09 PM <br />3005 <br />For 668 (Y)(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 its <br />Lien Unit Phone: (800) 829-3903 <br />Serial Number <br />521068125 <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 aft 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 OSCAR M E. TERESA D GOMEZ <br />Residence <br />4451 W STOLLEY PARK RD <br />ALDA, NE 68810-9797 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refined 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 />1040 <br />Tax Ending <br />(b) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Da for <br />Refiling <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />12/31/2022 <br />XXX-XX-3610 <br />10/21/2024 <br />11/20/2034 <br />156400.36 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total $ 156400,36 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the <br />24th day of July <br />2025 <br />Signature L / all <br />Title <br />.G„K.,^ ""-7j ACS SBSE <br />for D.J. RAMSEY (800) 829-3903 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is notessential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) Mau. 2-2004) <br />Part 1 - Kant By Recording Office CAT. NO 60025X <br />24-00-0008 <br />