Laserfiche WebLink
�-- <br />Form 468 (11(c) <br />MRel. February 7C1041 <br />17883 <br />Department of the Treasury - Internal Revenue Service 201406 <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYER AREA #4 <br />Lien Unit Phone: (900) 913-6050 <br />aerial Number <br />124974014 <br />For Optional Use by Recording Office <br />Ne I " <br />.f N O Je an a &AO - UCC rm. <br />III 11111 <br />Pes: 1 <br />y 10/�2912e14 ig a Pn <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 hen 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 palties, Interest, and costs that may accrue. <br />2914744013- <br />Merl: <br />Name of Taxpayer MEDBERY FABRICATION LLC <br />EDWIN MEDBERY SR SOLE MBR - <br />Residence 323 0 N NORTH RD <br />GRAND ISLAND, NE 68803 -9726 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is reflied by the date given in column (e). this notice shell, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />• <br />Kind of Tai <br />(a) <br />Tax Period <br />Ending <br />(b) <br />Idax lying Number <br />(c) - <br />Date of <br />Assessment <br />(d) <br />Last p� ayr for <br />Refpin <br />(e). <br />Unpaid Balance <br />of Assessment <br />(f) <br />940 <br />941 <br />12/31/2013 <br />12/31/2013 <br />• <br />45- 4171490 <br />45-4171490 <br />03/03/2014 <br />03/03/2014 <br />04/02/2024 <br />04/02/2024 <br />280.81 <br />6833.84 <br />• <br />Place of Filing <br />Register of Deeds. • <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 7114.65 <br />Oct,29. 2014 3:25PM NE Secretary of State — UCC <br />This notice was prepared end signed at CHICAGO, IL <br />15th October 2014 <br />the day of , <br />Part 1 - Kart S7 Recce O0ke <br />No. 7386 <br />, on this, <br />Signature Title <br />e- +C REVENCTS OFFICER 24 -06 -2709 <br />for JAMES R VAUGHN (402) 473 -4677 <br />76 <br />(INS; Certlitcate of officer authorized by law to take aclmowledpment IS not essential to the validity of Notice of Federal Tax Gen <br />Rev. Rul. 71 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2 -20041 <br />CAT. NO 50025X / <br />