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Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />927686513 <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 />NE Sec of Skate John A Gale -UCC FTL <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 />9913711806 -2 Pes: 1 <br />FISCHER <br />CONSTRUCTION INC p COR <br />Filed: 0 3/28/2013 01:58 PM <br />Name of Taxpayer FISCHER CONSTRUCTION INC <br />FISCHER LAURIE TREAS <br />a Corporation <br />Residence 9508 S HWY 11 <br />WOOD RIVER, NE 68883 -9345 <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 <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Reii ling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(f) <br />940 <br />12/31/2011 <br />26- 0047293 <br />02/25/2013 <br />03/27/2023 <br />546.17 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 546.17 <br />Grand Island, NE 68802 -1692 <br />03/28/2013 THU 14:59 FAX 402 471 4429 UCC SECRETARY OF STATE <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />3595 <br />y y y <br />Hall <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />201302473 <br />0002/003 <br />This notice was prepared and signed at <br />the <br />CHICAGO, IL , on this, <br />14th day of March <br />2013 <br />Signature <br />Title <br />REVENUE OFFTR <br />for PATRICK J KELLOGG (308)384 -4850 <br />24 -1Q -1744 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 4091 <br />Form 668(Y)(c) (Rev, 2-2004) <br />Part 1 - Kept By Recording Office <br />CAT. NO 60025X <br />