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02/01/2001 16:33 FAX 14024714429 NEBRASKA UCC <br />1a004/006 <br />109 W. F'L <br />Department of the TrP—m,, ry - Internal Revenue 1j`y`����}�� {��1�1��11 <br />668 <br />Notice of Federal Tax Lien 11jj t{ It `j Il {1111 {14 {I ` ` <br />IRev. 2000) <br />IRev. October 2000) Ays. t <br />99a1113726 coH <br />Area: Serial Number F F, jed Fo2101 r2o ir02.3-�an <br />SMALL BUSIINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (414) 297 -3211 390142264 <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 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 />Name of Taxpayer A & A FLORAL F. GIFTS INC , a Corporation <br />200100811 <br />Residence 819 N DIERS STE 8 <br />GRAND ISLAND, NE 68803 -4955 <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 1RC 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 />Refilling <br />of Assessment <br />(a) <br />(b ) <br />(c <br />d <br />• <br />i <br />941 <br />09/30/1999 <br />47- 0757564 <br />12/27/1999 <br />01/26/2010 <br />2133.39 <br />941 <br />12/31/1999 <br />47- 0757564 <br />03/27/2000 <br />04/26/2010 <br />5639.23 <br />941 <br />03/31/2000 <br />47- 0757564 <br />06/19/2000 <br />07/19/2010 <br />6223.70 <br />941 <br />06/30/2000 <br />47- 0757564 <br />09/18/2000 <br />10/18 /2010 <br />6182.08 <br />941 <br />09/30/2000 <br />47- 0757564 <br />01/01/2001 <br />01/31/2011 <br />3457.26 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Hall POBOX 1692 <br />23635.66 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI , on this, <br />the 25th da f January 2001 <br />Signature �,`:.: Title <br />Revenue Officer 39 -01 -2339 <br />for KAY PONTE (308) 385 -6548 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rut. 71 -466, 1971 - 2 C.B. 409) Furm 668(Y)(c) (Rev. 10 -00) <br />Part 2 - Internal Revenue service TDA Copy CAT. NO 00025X <br />