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201506708
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9/30/2015 3:50:37 PM
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9/30/2015 3:50:37 PM
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DEEDS
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201506708
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-Sep. 35. 21)15 2:44PM • NE S :retary of State. — UCC No. 2935 F. 4, <br />Form 668 (Y)(c) <br />(Ray. February 2004) <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (B00) 913 -6050 <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 EDWARD D SABATKA <br />UNCLE EDS STEAKHOUSE & BBQ <br />Residence <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 />Kind of Tax <br />(a) <br />941 <br />Place of Filing <br />2624 S LOCUST ST <br />GRAND ISLAND, NE 68801 -8228 <br />Tax Period <br />Ending <br />(b) <br />03/3 <br />5216 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Identifying Number <br />(c) <br />XX- XXX4616 <br />the 11th da y of September 2015 <br />Serial Number <br />Date of <br />Assessment <br />(d) <br />07/06/2015 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 --1692 <br />176012415 <br />Last Day for <br />Refiling <br />(e) <br />08/05/2025 <br />Signature _ 61114 Title <br />REVENUE OFFICER <br />for PATRICK J KELLOGG (308) 663 - 6003 <br />20150670i3 <br />For Optional Use by Recording Office <br />NE Sec of Stale John Q Gate - UCC ETL <br />9915761608 -6 Pe 1 <br />SABHTKA EDWARD <br />Filed: 09/3 6/2015 ai se PM <br />Unpaid Balance <br />of Assessment <br />(0 <br />9741.81 <br />Total $ 9741.81 <br />This notice was prepared and signed at CHICAGO IL , on this, <br />24 -06 -2744 <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_ Rol. 71 -466, 1971 - 2 C.B. 4091 <br />
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