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05/29/2012 TUE 14:53 FAx 402 471 4429 UCC SECRETARY OF STATE -�-�� Hall <br />� <br />O° <br />Forn� 668 (Y)(c) <br />IRev. Fe6ruary 20041 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien . <br />Area: Serial Number For Optiona <br />SMALL BUSTNESS/SELF EMPLOYFD AREA #4 <br />Lien Unit Phone (800) 913-6050 . 868756612 <br />As provided by sect�on 6321,� 6322, and 6323 of the Internal Reveeue <br />Code, we are giving a notice that taxes (including interest ani! penafties) <br />have been assessed against the following eamed taxpayer. We have made <br />a demand for payment of this liab�ity, but it remaiiu unpaid. Therefore, <br />there is a I�ee in favor of t6e linited States on all property and rtghts to <br />property belonging to this taxpayer for the amount of these taxes, and <br />addit�onal penalties, interestt, and costs that may accrue. <br />Name of Taxpayer RONALD F RING <br />KINGS BAR & GRILL <br />Residence 2615 W CHARLES ST <br />GRAND ISLAND, NF 68803-5702 <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 tFie day foliowing such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />7'ax Period � Date of Last D_ay� for <br />Kind of '�ax Ending ideetiiying Number . Assessment Refiling <br />940 �12/31/2011) 87-0712920 �04/16/2012� 05/16/2022 <br />Place of Filing <br />�004/006 <br />349:80 � <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island,�NE 68802-1692 <br />��1�CI�2�� <br />Total I$ 349.8U ; <br />�� <br />� <br />This notice was prepared and signed at CHICAGO, IL <br />the 17th day of May 2012 <br />Signature /� � <br />\ \ <br />for DANIELLE L MUELLER <br />Title <br />REVENUE OFFICER <br />(402) 473-4675 x2912 <br />, on this, <br />24-10-1720 ., <br />� <br />(IdOTE: Certiticate of officer authorized by law to tatce acknowledgment is not essential to the validity of Notice of Federel Tax lien t,. <br />Rev. Rul. 77-466, 1971 - 2 C.B. 409) • <br />Part 1- Kept By Record'mg Office Farm 668(Y)(c) IRev. 2-2004) <br />CAT. NO 60025X <br />Use by Recording Office <br />llnpaid Balance <br />of Auessment <br />