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Form 668 (Y)(c) <br />(Hey. rebruary 2004) <br />11290 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien 2 015 0 41 a <br />Area: <br />SMALL BUSXNESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />160305415 <br />For Optional Use by Recording Office <br />112 See vI Skean John 5 Chile - UCC Fn. <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 />IM <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 />P9s: <br />1 <br />property belonging to this taxpayer for the amount of these taxes, and <br />991575623 ® -8 <br />RN2R tN09 ;0B pMPORA <br />additional penalties, interest, and costs that may accrue. <br />FRER <br />Name of Taxpayer CREATIVE CORNER INC, a Corporation <br />Residence 115 W CHARLES ST <br />GRAND ISLAND, NE 68801 -6020 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />identifying Number <br />Assessment <br />Refihng <br />of Assessment <br />(a) <br />(I <br />(d) <br />(e) <br />O <br />941 <br />06/30 <br />550 N 55 <br />CO CO 02 CO CO CO CO 02 02 CO Co CO CO CO CO <br />12/15/2014 <br />01/14/2025 <br />7018.89 <br />941 <br />09/30 <br />12/15/2014 <br />01/14/2025 <br />6625.62. <br />941 <br />12/31 <br />12/15/2014 <br />01/14/2025 <br />8100.21 <br />941 <br />03/31 <br />12/15/2014 <br />01/14/2025 <br />5710.82 <br />941 <br />06/30 <br />12/22/2014 <br />01/21/2025 <br />5274.04 <br />941 <br />09/30 <br />12/15/2014 <br />01/14/2025 <br />5018.03 <br />941 <br />12/31 <br />12/22/2014 <br />01/21/2025 <br />5459.55 <br />941 <br />03/31 <br />12/22/2014 <br />01/21/2025 <br />6566.59 <br />941 <br />06/30 <br />12/22/2014 <br />01/21/2025 <br />12951.47 <br />941 <br />09/30 <br />12/15/2014 <br />01/14/2025 <br />13856.20 <br />941 <br />12/31 <br />12/22/2014 <br />01/21/2025 <br />18316.48 <br />941 <br />03/31 <br />12/01/2014 <br />12/31/2024 <br />22614.01 <br />941 <br />06/30 <br />12/01/2014 <br />12/31/2024 <br />39603.92 <br />941 <br />09/30/2011 <br />12/01/2014 <br />.12/31/2024 <br />36955.33 <br />941 <br />12/31/2011 <br />12/01/2014 <br />12/31/2024 <br />39553.33 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 233624.49 <br />Grand Island, NE 68802 -1692 <br />_run, 1E. 2015 3 34FM NE Secretary of State — UCC <br />0 <br />This notice was prepared and signed at <br />the 03rd day of June 2015 <br />Signature <br />for DANIELLE L MUELLER <br />d <br />CHICAGO, IL <br />Title <br />REVENUE OFFICER <br />(402) 473 -4675 <br />11c. 1363 <br />, on this, <br />24 -06 -2720 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax Ilen <br />Rev. Fiul. 71 -466, 1971 - 2 C.B. 409) <br />0 <br />Part 1 • Kept By Recording OftPce Form 66B(Y)(c) (Rev. 2 -2004 <br />CAT. NO 60025X( <br />