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orra 668 (Y)(c) <br />MIL February 20041 <br />14582 <br />Department of the Treasury - Internal Revenue Service c (` `, <br />Madre of Federal Tax Lien �• V V <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA *4 <br />Lien Unit Phone: (ado) 913 -6050 <br />Serial Number <br />144$77115 <br />For Opdanat Use by Recording Office <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />�. J.,., mi. - uce m. <br />Code, we are giving a nodal diet t� xes (Indeding interest and penalties) <br />a r , r a , <br />have been assessed Against the following have <br />made <br />-awned taxpayer. We <br />a demand for payment of this lahiiilty, but h rerraab s unpaid. Therefore, <br />there is a lien in favor of t United Slates on all property and rights to <br />property belonging to this taxpayer ayer for the assume of theme taxes, and <br />ddb ants penalties, interest, and that array accrue. <br />1675ae -1 i Pea: 1 <br />a • A FRRQICR <br />Fj'd` rear 15 2:96 Pn <br />Narne of Taxpayer TOMEY BROTHERS METAL FABRICATION <br />LLC <br />Residence PO BOX 19 . <br />WOOD RIVER, NE 66882 -0039 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refried by the date given in column (e). this notice shall, <br />on the day following such date. operate as a certificate of release ea defined <br />in IRC 0825(21. <br />T Period <br />Date of <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />I dentifying Number <br />Assessment <br />R g <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(4) <br />(s) <br />sr) <br />941 <br />09/30/2014 <br />45- 1228025 <br />12/29/2014 <br />01/28/2025 <br />5360.46 <br />Place of Filing <br />Register of Deed <br />Hall POBOX 1692 Tot13I <br />$ 5360.46 <br />Grand Island, NE 68802 -1692 <br />M a r • <br />2015 3 :22PM NE Secretary of State — UCC <br />No. 9497 P. 2/2 <br />This notice was prepared and signed at CHICAGO, IL <br />the <br />19th day of February 2015 <br />Signature <br />for PATRICK J <br />132 <br />rti <br />RSV ENLTE OFFICER <br />(308) 663 -6003 <br />(NOT& Certificate of officer authorized by law to take acknowledgment Is not anaemial to the validity <br />Rev. Rul. 71 -46e, 1871 - 2 C.B. 4091 <br />Part >I - kpt By Recording Oft <br />on thin, <br />24 -06 -2744 <br />of Notice or Federal Tax lien <br />Form 468(Y)(c) (Rev. 2 -ZO044 <br />CAT. NO 00025X <br />369 <br />