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07/03!2001 09:27 FAX 14024714429 NEBRASKA UCC <br />109 <br />Department of the Treasury - Internal Revenue S <br />Form 668 (y)(c) Notice of Federal Tax Lien <br />!Rev. October 20001 <br />Serial Number For <br />Area. <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 390148016 <br />Lien Unit Phone: (414) 297 -3211 <br />As provided by section 6321, 6321, and 6323 of the Internal Revenue <br />Code, we are giving a notice that talxes (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 was that may accrue. <br />Name of Taxpayer SIGN WORLD INC , a Corporation <br />Residence PO BOX 5406 <br />GRAND ISLAND, NE 68802 -5406 <br />Z 0021/006 <br />t Yi Lee a1 L��is UC[ CTL <br />i <br />SIGN WORLD ; NC, A CORPORATION <br />Flied: 07/02/2001 10_24 AM - <br />Lin MPORTANT RELEASE INFORMATION; For each assessment listed below, <br />nless notice of the lien is refiled by the date given in column (e ?, this notice shall, <br />n the day following such date, operate as a certificate of release as defined <br />IRC 6325ia1• <br />Tax Period Date of Last D for <br />Kind of Tax Ending identifying Number Assessment Re1ig <br />20.0106536 <br />941 106/30/20001 4 -7- 0647331 01/08/2001. 02/07/2011 <br />941 09/30/2000 47- 0647331 03/26/2001 04/25/2011 <br />941 12/31/2000 47- 0647331 04/09/2001 05/09/2011 <br />Place of Filing <br />Register cif Deed_ s <br />Hall POBOX 1692 <br />Grand Island, NE <br />This notice was preparedond signed at <br />the 22nd day of June <br />Signature �` � f. <br />for PATRICK KELLOGG <br />Total 1 $ <br />68802 -1692 <br />2001 <br />MILWAUKEE, WI <br />Unpaid Balance <br />of Assessment <br />1378.72 <br />3271.07 <br />3426.43 <br />8076.22 <br />, on this, <br />Title <br />Revenue Officer 39 -01 -2341 <br />(306) 385- -6548 <br />(?TOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of reoerai fax ire„ <br />Rev. Rul. 71-466,1971 - 2 C.B. 409) Form 668(Y)(c) IRev. 10.00) <br />Part t • Kept By Recording Office CAT. NO 60025X <br />