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Dec. 18. 2015 3:10PM NE Secretary cf Stag - UCC ;01503$68,No. 4163 P. 2/2 <br />,o <br />Form 668 (Y)(c) <br />=fFive=Febraarq?e6eli <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA. #4 <br />Lien Unit Phone: (800) 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 Hen 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 />Place of Filing <br />the <br />941 <br />2624 S LOCUST ST <br />GRAND ISLAND, NE 68801 -8228 <br />Tax Period <br />Ending <br />(b) <br />5216 <br />06/30/2015 <br />Department of the Treasury - Internal Revenue Service <br />Notice._o ederaLtix Lipn <br />Identifying Number <br />(c) <br />XX XXX4616 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />03rd day of December 2015 <br />r <br />Serial Number <br />Date of <br />Assessment <br />(d) <br />10/05/2015 <br />180929515 <br />Last Day for <br />Refiiing <br />(e) <br />11/04/2025 <br />For Optional Use by Recording Office <br />NE 5•c Of <br />fiiaio John N Gal• w x FTL <br />IN <br />9915765478 -3. Pes: 1 <br />SABATKR EDWARD D <br />Filed: 1211B/201 01;47 PM <br />Unpaid Balance <br />of Assessment <br />(f) <br />8711.61 <br />Total $ 8711.61 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />Signature ` lOr-d1 Title <br />REVENUE OFFICER 24-06-2744 <br />for PATRICK J KELLOGG (308) 663 -6003 <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.. Form 666(Y)(c) (Rev. 2 -20041 <br />Part 1 Kept By Recording Office . CAT. NO 60025X <br />