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06/25/2012 MON 15:15 FAX 402 471 4429 UCC SECRETARB OF 5TAT8 ��� �all <br />�oo��oos <br />Form 668 (Y)(c) <br />(Rev. February 20D4) <br />Department of the Treasury - Interna) Revenue Servic 012 0 5 i 4 5 <br />Notice of Federal Tax Lien � <br />A�ea; Serial Number <br />sr�, BvsnvESS/s�r� �r,o�n �, #g <br />Lien Unit Phone: (800) 913-6050 874650912 <br />/�s provided by s�tion 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are givin� a notice that taxes (including interest and penalties) <br />have been asseued agau�st the fallow6�g-named taxpayer. We have made <br />a demand for payment of this liability, but it rernains unpaid. Therefore, <br />there is a 6en in favor of the united States on all property and rights ta <br />property belon�ng to this taxpayer for the amount of these taxes, and <br />additional Etenalties, interest, and casts that may accrue. <br />a �or�oration <br />Residence 379 N WA.LNU'T ST . <br />GRAND ISLAND,.NE 68801-4513 <br />For Optional Use by Recording Office <br />NE Sec of Slale John N Gale - ULC FTL <br />� <br />s: � � <br />9912694502 Pg <br />WIU.IS SHOE RND BOOT INC A COR <br />�,�ea. n�►2s/2012 10:48 fiM . <br />IMPORTANT RELEASE INEORMATION: For each assessment listed betow, <br />unless notice of the lien is refiled by the date given in column (e), this notice shall, <br />on the day fotlowing such date, operate as a certificate of release as defined <br />in IRC 6325(a1. , <br />Tax Period Date of I.ast Day for <br />Kind of Tax Ending ldenti�jring Number Assessment Refiling <br />941 06/30/2011 47=0821358 02/13/2012 03/15/2022 <br />941 09/30/2011 47-0821358 02/13f2012 03/15/2022 <br />941 12/31/2011 47-0821358 02i27/2012 03i29/2022 <br />Place ot Filing <br />2316.14 <br />5208.39 <br />5850.86 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total � $ <br />This notice was prepared and signed at <br />the 13 th day of June <br />����� <br />CHICAGO, IL <br />i• <br />13375.39 ,' <br />h <br />�' <br />(• <br />_ , on this, � <br />Signature ��v�-�C�� g��� OFFICER 24-10-1720 <br />� � <br />for DANIELLE L MU£LLER (402) 473-4675 x2912 • <br />(NOTE: Certificete of officer authorized by law to take acknowledgment is not essential to the validty of Notice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.9. 409) Form 668(1�(c) (Rev. 2-2004 <br />Part 1• Kept By Recordipg Office CAT: NO 6Q025X <br />lJnpaid Balance <br />of Assessment <br />4• <br />