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02/01 /2001 16:32 FAX 14024714429 NEBRASKA UCC <br />Q003/006 <br />t <br />�i 109 41S.- .r sh.k. - ucc E CTS <br />t� Department of the Treasury - Internal Revenue �111�1Ifl +�J��III�����11II1II�I��1l�I�II <br />Form 668 (Y)(c) 9901113725 Pas. 1 <br />IRev. October 2000) Notice of Federal Tax Lien RIVER CITY TILE CO INC A CORPO <br />Filed 02101/2001 02 37 PM <br />S I N For Optional Use by Fecordina Office <br />Area: erna umoer <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (414) 297 -3211 390142265 <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 h 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 RIVER CITY TILE CO INC , a Corporation 200100812 <br />Residence 2626 OLD FAIR RD <br />GRAND ISLAND, NE 68803 -5219 <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(x). <br />Tax Period Date of Last D for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refing of Assessment <br />a b c) (d ) (e <br />941 06/30/2000 91- 1863019 11/'13/2000 12/13/2010 5145.36 <br />Place of Filing <br />Register of Deeds Total $ <br />Hall POBOX 1692 5145.36 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI , on this, <br />the 25th day of January 2001 <br />den <br />Signature r , ,/lam Title <br />Revenue Officer 39 -01 -2341 <br />for 0 l9GG-�e" •� (308) 385 -6546 <br />(INOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien U)' <br />Rev. Hui. 71-465,1971 - 2 C.B. 409) Form 669(Y)(e) (Rev. 10 -00) <br />Part I - Kept By Recording Office CAT. NO 60026X <br />