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Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (000) 913 -6050 <br />Serial Number <br />996997114 <br />For Optional Use by Recording Office <br />S '• st doy„ R 6a,� <br />. _ arc E r g <br />s r a7a- <br />F "° esi pot <br />12:11 Pr <br />i <br />- <br />1 <br />!; <br />,J <br />M provided by section 6321, 6322, and 6323 of the internal Revenue <br />Code, we are giving a notke 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 fEabiUty, but it remains unpaid. Therefore, <br />the is a lien in favor of. the linked 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 acute. <br />Name of Taxpayer EDWARD D SABATICA <br />UNCLE EDS STEAKHOUSE & BBQ <br />Residence 2624 $ LOCUST ST <br />GRAND ISLAND, NE 68801 -8228 • <br />IMPORTANT <br />unless notice <br />on the day <br />in IRC 6325 <br />RELEASE INFORMATION: <br />of the lien .is refilled <br />following such date, <br />{a). <br />Ammerommmmemememeemeemer <br />Tax Period <br />Ending • <br />(b) <br />For each assessment listed below, <br />by the date given in column le), this notice shall, <br />operate as a certificate of release as defined <br />Kind of Tax <br />(a) <br />Identifp'ing Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last pH for <br />Wiling <br />O <br />Unpaid Balance <br />of A sesmnemt <br />(f) <br />_ <br />941 <br />941 <br />941 <br />06/30/2013 <br />09/30/2013 <br />12/31/2013 <br />48- 0844616 <br />48- 0844616 <br />48- 0844616 <br />11/18/2013 <br />01/06/2014 <br />03/31/2014 <br />12/18/2023 <br />02/05/2024 <br />04/30/2024 <br />5649.20 <br />14618.49 <br />9851.57 <br />• <br />• <br />• <br />Place of Filing <br />. Register of Deeds <br />- Hall POBOX 1692' Total <br />Grand Island, NE 68802 --1692 <br />$ • 30119.26 <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />ChB <br />May, <br />Signature <br />2014 2:36PM NE Secretary of State — UCC <br />14583 <br />This notice was prepared and signed at <br />25th day of April 2014 <br />Department of the Treasury - Internal Revenue Service 2 0 1 4 0 2 7 1 1 <br />Notice of Federal Tax Lien <br />• <br />CHICAGO, IL <br />for PATRICK J KELLOGG (308) 663 -6003 <br />No. 4709 P. 3/3 <br />, On this, <br />Title <br />REVENUE OFFICER 24 -10 -174 <br />MOM Certificate of officer'eufhorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax Tian <br />Rev, Rol. 71-488,1971-20,8,40i Form 648( (Roe. 2 - 20041 <br />Part 1 - Kept By ReeaMI ( °nice CAT. NO 80025X <br />