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Jul, 14. 2017 3:16PM <br />Form 668 (Y)(c) <br />(Fiev. February 2004) <br />Area: <br />SMALL BUS INESS /SELF £rtLO'FD 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 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 />1 <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 />941 <br />Place of Filing <br />This notice was prepared and signed at <br />the 03rd day of July <br />Signature <br />for PATR <br />Tax Period <br />Ending <br />(b) <br />11874 <br />1523 S LINCOLN AVE <br />GRAND ISLAND, NE 68801 -7141 <br />06/30/2016 <br />09/30/2016 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />KELLOGG <br />Identifying Number <br />(c) <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />XX- XXX4616 <br />XX- XXX4616 <br />2017 <br />Serial Number <br />Date of <br />Assessment <br />(d) <br />10/03/2016 <br />01/09/2017 <br />CHICAGO, IL <br />268932917 <br />Last Day for <br />Re .filing <br />(e) <br />11/02/2026 <br />02/08/2027 <br />ND. 4086 F. 2i "2 <br />Title <br />REVENUE OFFICER <br />(308) 663 -6003 <br />For Optional Use by Recordln <br />NE 5.c of Slot John R Gsla <br />9917794905 -8 <br />SABATKA EDWARD D <br />Filed; 87/1./2 017 09:28 AM <br />201704718 <br />Office <br />�C FTL <br />Pgs <br />Unpaid Balance <br />of Assessment <br />(f) <br />471.24 <br />6845.42 <br />Total $ 7316.66 <br />, on this, <br />24 -06 -3124 <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. Rul. 71 -466, 1971 - 2 C.B. 409) Form 6613(1f)(c) (Rev. 2 -2004) <br />Part t - Kept By Recording office rar nin Ann, <br />Q <br />