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Form 668 (Y)(c) <br />(Rev. February 2000 Notice of Federal Tax Lien <br />Area: Serial Number For Optional Use by Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA 414 <br />Lien Unit Phone: (800) 913 -6050 216569016 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue NE Src; I fie a Jahn A 6dr UGC GTL <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, 1 11 <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 891 0775803 -8 Pas: 1 <br />MJR INC, a 0:WPM:MON <br />additional penalties, interest, and costs that may accrue. Filed: 06/22!2016 11:30 RM <br />Name of Taxpayer MJR INC, a Corporat <br />Residence 1016 N DIERS AVE STE 118 <br />GRAND ISLAND, NE 68803 -4974 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column le), 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 Date of Last Day for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refing of Assessment <br />(a) (b) (c) (d) (e) (f) <br />• 941 12/31/2015 XX- XXX1796 03/28/2016 04/27/2026 7952.92 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total $ 7952.92 <br />Grand Island, NE 68802 --1692 <br />Jun, 22. 2016 <br />:27FM NE Sec etary of Stan: — UCC <br />Nc. - 068 <br />This notice was prepared and signed at - CHICAGO, IL <br />on this, <br />the <br />10th day of June 2016 <br />Signature <br />for PATRICK J KELLOGG <br />Title <br />REVENUE OFFICER <br />(308) 663 -6003 <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. Rut. 71 -466. 1971 - 2 C.B. 4091 <br />Part 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2 - 200 <br />CAT. NO 60025X <br />0 <br />5216 <br />Department of the Treasury - Internal Revenue Service 20160381 <br />Jun, 22. 2016 <br />:27FM NE Sec etary of Stan: — UCC <br />Nc. - 068 <br />This notice was prepared and signed at - CHICAGO, IL <br />on this, <br />the <br />10th day of June 2016 <br />Signature <br />for PATRICK J KELLOGG <br />Title <br />REVENUE OFFICER <br />(308) 663 -6003 <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. Rut. 71 -466. 1971 - 2 C.B. 4091 <br />Part 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2 - 200 <br />CAT. NO 60025X <br />0 <br />