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Form 668 00(c) <br />(Nev. February 2004) <br />11874 2017043 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF <br />Lien Unit Phone: (aoc) <br />EMPLOYED AREA #4 <br />913 -6050 <br />Serial Number <br />266569417 <br />For Optional Use by Recording Office <br />Ni S o f A4abe <br />11 <br />991779436 <br />CHERRY PARK <br />Filed: 05/2912017 <br />Jahn q Oa a - urG FT <br />11111 <br />-9 Pes; <br />CRERZSVE CORNER LL <br />11;04 AM <br />I <br />1 <br />As provided by section <br />Code, we are giving <br />have been assessed against <br />a demand for payment <br />there•is a lien in favor <br />property belonging to <br />additional penalties, <br />6321, 6322, and 6323 of the Internal Revenue <br />a notice that taxes (including interest and penalties) <br />the following-named taxpayer. We have made <br />of this liability, but it remains unpaid. Therefore, <br />of the United States on all rod rights to <br />p p e an $ <br />this taxpayer for the amount of these taxes, and <br />interest, and costs that may accrue. <br />Name of Taxpayer CHERRY <br />PARK CREATIVE CORNER LLC <br />Residence 415 <br />GRAND <br />SOUTH CHERRY STREET Q3 <br />ISLAND, NE 68801 <br />IMPORTANT RELEISE <br />unless notice of the lien <br />on the day following <br />in IRC 6325 (a). <br />INFORMATION: For each assessment listed below, <br />is refiled by the date given in column (8), this notice shall, <br />such date, operate as a certificate of release as defined <br />Kind of Tax <br />(a) <br />Tax P,prIod <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Reliling <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />941 <br />941 <br />941 <br />03/31/2016 <br />06/30/2016 <br />12/31/2016 <br />XX- XXX7799 <br />XX- XXX7799 <br />XX- XXX7799 <br />05/15/2017 <br />02/13/2017 <br />04/24/2017 <br />06/14/2027 <br />03/15/2027 <br />05/24/2027 <br />18386.74 <br />14903.06 <br />13669.13 <br />Place of Filing <br />Re <br />Ha. <br />Gr <br />inter of Deeds <br />1 POBOX 1692 Total <br />d Island, NE 68802 -1692 <br />$ 46958.93 <br />un. 29. 2(17 <br />This notice was prepared <br />the <br />15th day of <br />and signed at <br />June 2017 <br />for PATR l ICELLCGG <br />Signature <br />3:23 FM NE 5e,c.retary of State — UCC <br />Title <br />REVENUE OFFICER <br />(308) 663 -6003 <br />\ . 1241 <br />CHICAGO, IL , on this, <br />24 -06 -3124 <br />(NOTE: Certificate of offi.:er authorized by law to take acknowledgment is not essential to the validity of Notice of Federal TaX lien <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 4091 <br />Form 66690)(c) (Rev_ 2-Z004) <br />Part 1 Kept By Recording Office <br />CAT. NO 60025X <br />