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Fern 668 (Y)(c) 20150'J <br />(Rev. February 2004) Notice of Federal Tax Lien <br />Area: Serial Number For Optional Use by Recording Moe <br />SMALL BQ$nBSS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 150011815 ∎ , ,,, „a,.. Ya ro <br />As provided by sectlon 6321, 6322, and 6323 of due Internal Revenue 15111 <br />C ode, vw 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 Den in favor of the United States on an property and rigbts to 99157� �: i <br />,.��1 � - p 8 � ° <br />property belonging to this taxpayer for the amount of these taxes, and SANTO 5 ax;st PM <br />additional penalties, interest, and costs that may, accrue. <br />Name of Taxpayer EDWARD D SABATKA <br />'UNCLE EDS STEAKHOUSE & BBQ <br />Residence 2624 5 LOCUST ST <br />GRAND ISLAND, NE 68801 -8228 <br />• <br />A <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below. <br />unless notice of the lien is raffled by the date given in column (e), this notice shall, <br />on the day following such date, operate es a certificate of release as defined <br />in !RC 6325(a). <br />Kind of Tax T x Perk !d Date of last Day for - unpaid Balance <br />identifying Number Assessnnent Reflfng of Assessment <br />(a) (b) (c) (d) (e) (f) <br />941 12/31/2014 48- 0844616 03/30/2015 04/29/2025 ' 4425.73 <br />• <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total $ 4425.73 <br />Grand Island, NE 68802 -1692 <br />jun. 5. 2015 3:19PM NE Secretary of State — UCC <br />This notice was prepared and signed at <br />CH <br />ICAGO, IL , on this, <br />the <br />3.9th day of May <br />Signature <br />for PATRICK J' <br />LOGO <br />2015 <br />REVENUE OFFICER <br />(308f 663 -6003 <br />No, 1171 <br />0 <br />24 -06 -2744 <br />(1tIp7>Et Cartifioate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax Ilan <br />Rev. laul. 71.430, 1971 - 2 C.6.409) Form 6L8(1fj(e) (Rev. 2 -2 - <br />Part 1 - kept Hy PaCerdeg Mete CAT. NO eOOae { <br />750 <br />14582 <br />Department of the Treasury - Internal Revenue Service <br />jun. 5. 2015 3:19PM NE Secretary of State — UCC <br />This notice was prepared and signed at <br />CH <br />ICAGO, IL , on this, <br />the <br />3.9th day of May <br />Signature <br />for PATRICK J' <br />LOGO <br />2015 <br />REVENUE OFFICER <br />(308f 663 -6003 <br />No, 1171 <br />0 <br />24 -06 -2744 <br />(1tIp7>Et Cartifioate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax Ilan <br />Rev. laul. 71.430, 1971 - 2 C.6.409) Form 6L8(1fj(e) (Rev. 2 -2 - <br />Part 1 - kept Hy PaCerdeg Mete CAT. NO eOOae { <br />750 <br />