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Forte 668 X 004) <br />Key. February 2004) <br />14582 <br />' Department of the Treasury - Internal Revenue Service `� ri ,, r <br />Notice of Federal Tax !inn G V 3 <br />Area: <br />SMALL $(YSINESSS /SELF EMPLOYED AREA # 4 <br />Lien Unit Phone: (aim) 913-6050 <br />Serial Number <br />157819215 <br />For Optional Use by Recording Office <br />or <br />0 <br />9915755640-4 <br />TO <br />Ft l tnanE ' M «l: <br />eLiie <br />,,,, • ei 1. • nee GP.. <br />11111 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including Interest and penalties) <br />have been assessed against the followhtirnamed taxpayer. We have made <br />a demand for payment of this liability, but k remains tmpald. Therefore, <br />there i3 a lien in favor of the United States on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, Interest, and costs that may accrue. <br />ace. 1 <br />eROT+�s l paeattn <br />e6laElzets � ez; f n+ <br />Name of Taxpayer TOURNEY BROTHERS METAL FABRICATION <br />LLC <br />Residence PO BOX 39 <br />WOOD RIVER, NE 68883 -0039 <br />IMPORTANT RELEASE INFORMATION: For each assessment fisted below, <br />unless notice of the lien Is refiled by the date given in column (e), this Mice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 0325(a). <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />Identifying thi mber <br />' (c) <br />Date of <br />Assent <br />(d) <br />04/06/2015 <br />• <br />Rat g <br />(o) <br />05/06/2025 <br />Unpaid Balance <br />of Assessment <br />(h <br />3849.78 <br />941 <br />12/31/2014 <br />45- 1228025 <br />Place of Filing - <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 3849.78 <br />0 <br />Ju 5, 2015 3:19PM NE Secretary of State — UCC <br />This notice was prepared and signed at <br />the 18th day of May <br />Signature <br />CHICAGO, IL <br />No, 1171 P. 2 <br />2015 <br />Title <br />REVENUE OFFICER <br />for PATRICK 3 K>I'LLOGG (308) 663 -6003 <br />, on this, <br />24 -06 -2744 <br />(NOTE Pert/loin of officer authorized by law to take acknowledgment is riot seaenttel to the valdhy of Notice of Federal Tax Ilan <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 4091 <br />Part 1 - If pt g!► R.eardiryt OiRce Form 641i00(c) (Rev. 2 - 2004} <br />CAT. NO 00025x <br />