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Form 668 (Y)(c) <br />(Rev. February 2004) <br />3592 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829 -3903 <br />Serial Number <br />907894812 <br />For Optional Use by Recording Office <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />NE Sae of S. John A Ga <br />a - UCC FTL <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 />9912704045 <br />-7 <br />P9s <br />: <br />1 <br />additional penalties, interest, and costs that may accrue. <br />MID - AMERICA TRANSFER INCA COR <br />Filed: 12/04/2012 10:45 AM <br />Name of Taxpayer MID- AMERICA TRANSFER INC <br />a Corporation <br />Residence 1044 S EUGENE ST <br />GRAND ISLAND, NE 68801 -8068 <br />, <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 the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />940 <br />12/31/2011 <br />20- 2557800 <br />04/02/2012 <br />05/02/2022 <br />408.10 <br />941 <br />03/31/2011 <br />20- 2557800 <br />04/02/2012 <br />05/02/2022 <br />8050.95 <br />941 <br />06/30/2011 <br />20- 2557800 <br />04/02/2012 <br />05/02/2022 <br />9916.28 <br />941 <br />09/30/2011 <br />20- 2557800 <br />04/02/2012 <br />05/02/2022 <br />16374.58 <br />941 <br />12/31/2011 <br />20- 2557800 <br />04/02/2012 <br />05/02/2022 <br />16314.01 <br />941 <br />03/31/2012 <br />20- 2557800 <br />08/06/2012 <br />09/05/2022 <br />15364.36 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 66428.28 <br />Grand Island, NE 68802 -1692 <br />12/04/2012 TUE 14:53 FAX 402 471 4429 UCC SECRETARY OF STATE <br />y y y <br />Hall <br />201210168 <br />00 02/002 <br />This notice was prepared and signed at CHICAGO, IL <br />the <br />22nd day of November 2012 <br />Signature ` ` C* <br />for G.J. CARTER-LOUIS <br />Title <br />ACS SBSE <br />(800) 829 -3903 <br />, on this, <br />24 -00 -0008 <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. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668(1)(c) (Rev. 2 - 2004) <br />Part 1 - Kept By Recording Office CAT. NO 60025X <br />