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J <br />Form <br />qn,. FCbr t� 004) <br />lRc�•uOry 14U4) <br />4804 2014006 <br />• Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA # <br />Lien Unit Phone: (Boo) 913 -6050 <br />Serial Number <br />123023114 <br />For Optional Use by Recording Office - <br />ne sac K Sisim dd p eels -UCC FiL <br />' , <br />0 i ;. <br />X714 E�NT pas : t <br />F iled: 101r0/2D1 4 ii2 :8N C p1 G " <br />,.. <br />. <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 />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 iQf these taxes, and <br />additional penalties, Interest, and costs that may accrue. <br />Name of Taxpayer WESTERBY ENTERPRISES INC <br />a Corporation <br />Residence 3620 W OLD HIGHWAY 30 • <br />• GRAND ISLAND, NE 68803 -5108 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (s), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRiC 0325(a). <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(dl <br />Lasit?ff for <br />Ref <br />(e) <br />Utiipaid Balance . <br />of Assessment <br />V) <br />941 <br />• <br />03/31/2013 <br />• <br />45- 2277090 <br />08/25/2014 <br />09/24/2024 <br />2747.09 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 - 1692 <br />$ <br />2747.09 <br />the <br />Oct,20. 2014 3:36PM NE Secretary of State — UCC <br />This notice was prepared and signed at <br />Signature <br />02nd day of October 2014 <br />for PATRICK IT I ELLOGO • <br />No. 7212 P. 3/4 <br />CHICAGO, IL , on this, <br />Title <br />MENU OFFICER <br />(308) 663 -6003 <br />64 <br />24 -06 -2744: <br />(MOTE; Certificate of officer authorised 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) Recordist Form 665(Y)(c) (Rev. 2 -2004) <br />Pan 1 - Kest i hr Recordhtr Office rA T Ain annoCv <br />