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09/07/2000 14:50 FAX 14024714429 NEBRASKA UCC <br />IForm 668 (Y)(c) <br />fRay. Auguat 1997) <br />16047 Department of the Treasury - Internal Revenue Ser, <br />Notice of Federal Tax Lien <br />.'District Serial Number <br />MIDWEST 390037966 <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 B & T CONCRETE & CONSTRUCTION , a Part: <br />WILLIAM DIESSNER & TROY ARNOLD <br />fa003/003 <br />111111111 1111111111111111111111111117111 <br />9900081364 P95: 1 <br />B 3 T coriCRE7E % CONSTRUCTION <br />Fitted 09/0712000 02 05 PM <br />rship <br />�rnce <br />200007401. <br />Residence <br />3842 W OLD HWY 3C STE A <br />GRAND ISLAND, NE 68803 -5053 <br />ANT RELEASE INFORMATION: For each assessment listed below, <br />ce <br />of the lien is refiled by the date given in column (a), thus notice shall, <br />` <br />y following <br />EIRC <br />such date, operate as a certificate of release as defined <br />25(a), <br />Tax period <br />Date of <br />Las t Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />RefiBng <br />of Assessment <br />a <br />b <br />c) <br />d) <br />e <br />940 <br />12/31/1999 <br />47- 0819750 <br />03/27/2000 <br />04/26/2010 <br />88.29 <br />941 <br />06/30/1999 <br />47- 0819750 <br />04/10/2000 <br />05/10/2010 <br />5595.08 <br />941 <br />09/30/1999 <br />47- 0819750 <br />04/10/2000 <br />05/10/2010 <br />13091.41 <br />941 <br />12/31/1999 <br />47- 0819750 <br />03/27/2000 <br />04/26/2010 <br />8003.60 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE <br />This notice was prepared and signed at <br />the 31st day of August <br />68802 -1692 <br />2000 <br />MILWAUKEE, WI <br />Total I$ 26778.36 <br />on this, <br />Signature //JJ Title Revenue Officer 39 -01 -2341 <br />fosr�AT I K G (308) 385 -6548 <br />(NOTE: Cartificale of officer authorized by law to take acknowledgment is net essential to the validity of Notice of Federal lax lien �J <br />Rev. Rul. 71.466. 1971 - 2 C.B. 4091 Form 668(Y) (Rev. <br />Part 4 - Internal Revenue sarvfae rnA copy CAT. NO 60025025 <br />X <br />