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•Aug.23. 2017 4:26PM NE Secretary , State — UCC <br />Serial Number <br />27290 <br />IT RELEASE e lien i r INFORMATION: t i en in column (e), th l s tet 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 <br />Ending <br />b) <br />12/31/2 <br />12/31/201 <br />03/31/201 <br />06/30/201 <br />09/30/2 <br />12/31/201 <br />Identifying Number <br />(c) <br />XX- XXX65 <br />XX- XXX <br />XX- -XXX <br />XX- XXX6508 <br />XX- XXX650 <br />XX - XXX65 <br />Date of <br />Assessment <br />(d) <br />05/22/201 <br />04/11/201 <br />05/22/201 <br />05/22/20 <br />05/22/201 <br />05/22/201 <br />Last Day for <br />Refi ng <br />(e <br />06/21/2 <br />.05/11/2 <br />06/21/202 <br />06/21/2027 <br />06/21/202 <br />06/21/2027 <br />Kind of Tax <br />(a) <br />For Optlonel Use by Recording Office <br />Form 668 (Y)(c) <br />(RSV, February 2004) <br />Area: <br />SMALL BJSINESS /SELF EMPLOYED AREA # <br />Lien Unit Phone: (900) 913 -60 <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 GRAND ISLAND AUTOMOTIVE INC <br />GRAND ISLAND KART & CYCLE <br />a Co .oration <br />R <br />940 <br />941 <br />941 <br />941 <br />941 <br />941 <br />Place of Filing <br />the <br />This notice was prepared and signed at <br />11874 Revenue Service <br />Department of the Treasury <br />Notice of Federal Tax lien <br />7561 S LOCUST ST <br />DONIPHAN, NE 68832 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -169 <br />02nd day of P'ugust <br />2017 <br />CHICAGO, IL <br />Title <br />REVENUE OFFICER <br />(308) 663 -6003 <br />Total <br />o ti rt a G.10 - YCC CTL <br />NO Sew DI Sa.ls 1 <br />1 <br />9917796991 -2 PaB <br />GRAND I5LOND nutomortvE 42 INC <br />el <br />Filed, 0a12s /2e17 01;42 PM <br />Unpaid Balance <br />of Assessment <br />(0 <br />14784.28 <br />1024. <br />16750.01 <br />24107.09 <br />23653.54 <br />217 07.83 <br />102026. <br />, on this, <br />24 -06 - 31 24 <br />Signature <br />(NOTE: Certificate of officer auth 9, Form (c) (Rev. 2 -2004) d by law to take acknowledgment is not essential to the validity of Notice ce of of Federal Tax lien <br />f or PATR KELLOGG <br />Rev. Rut. 71-466, 1971 2 C.9- <br />Part 1 - Kept By Recording Office CAT. NO 60025X <br />