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(?x,'01'2000 15:44 FAX 14024714429_ NEBRASKA UCC <br />109 Department of the Treasury - Internal Revenue Seri <br />Form 668 MW Notice of Federal Tax Lien <br />(Rev. August 12971 <br />District Serial Number For <br />MIDWEST 390037667 <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 renwins unpaid. Therefore, <br />there is a lien In favor of the United States on all property and rlghts 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 RIVER CITY TILE CO INC , a Corporation <br />Residence 2626 OLD FAIR RD <br />GRAND ISLAND, NE 68803. -5219 <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 es a certificate of release as defined <br />in IRC 5325(a). <br />Tax Period Date of Last Dayy for <br />Kind of Tax Ending Identifying Number Assessment Refill <br />1x003/003 <br />11 �IIl�1111111Ii1111illlllllill111N <br />9900080371 PCs ' 1 <br />ILE CO <br />Filed C09Y01120'00 02N 20PPMORPO <br />Use by Recording Office <br />20000 7 209 <br />Unpaid Balance <br />of Assessment <br />941 <br />12/31/1998 <br />91- 1663019 <br />03/15/1999 <br />04/14/2009 <br />5115.92 <br />941 <br />03/31/1999 <br />91- 1863019 <br />04/10/2000 <br />05/10/2010 <br />5836,50 <br />941 <br />06/30/1999 <br />91- 1863019 <br />04/10/2000 <br />05/10/2010 <br />5564.39 <br />941 <br />09/30/1999 <br />91- 1863019 <br />04/10/2000 <br />05/10/2010 <br />5955.72 <br />941 <br />12/31/1999 <br />91- 1863019 <br />04/10/2000 <br />05/10/2010 <br />6479.61 <br />941 <br />03/31/2000 <br />91- 1863019 <br />07/24/2000 <br />08/23/2010 <br />5571.15 <br />Place of Filing <br />Register of Deeds <br />Hall. POBOX 1692 <br />Grand Island, NE 66802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI <br />the 25th day of August 2000 <br />Signature <br />f01 <br />Total I$ 34523.29 <br />on this, <br />Title Revenue Officer 39- 07.-2341 <br />(308) 385 -6548 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of reoerai i an <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 669(Y)(C) (Rev. 8 -97) <br />part 2 - internal Revenue Service TDA Copy CAT. NO 60025X <br />