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Nov. 26. 2013 22F'M NE Secretary of Stat_ <br />Na. 1 345 F. 2 <br />NE Set °taws -John A, Oele <br />Filinn Document#. 12I1001I48-1 Pages: 1 <br />Deism e Name 2 & S CARPET SPR VICE INCA CORPOR&T <br />Filuig Due nod tial.: 11/16.12014 10:56 Aid <br />201807639 <br />J <br />IS,,. 668 (t04) <br />lAer. Feoruerr 2904) <br />11874 <br />Department <br />of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: 3 <br />Serial Number <br />For Optional Use by Recording 0trise <br />%%%L>., BUSINESS/SELF EMPTOY$A AREA 416 <br />Lien Unit Phone: (800) 913-6050 <br />33259691 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the fall wiing-named taxpayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there is a lien hi favor of the United States on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br />Nerve of Taxpayer D & B CARPET SSRVICE INC <br />a Corporation <br />Residence PO BOX 6 <br />DONIPHAN, NE` 68832-0006 <br />IMPORTANT RELEASE YNFORM4TIOhl; For each assessment listed below. <br />unless native of the lien is refiled by thedate given In column lel, this notice shall, <br />on the day fallowing such date, operate as a certificate of release as defined <br />in MC 63215tal. <br />Tax Period <br />Date of <br />Last Day For <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Raffling <br />of Assessment <br />(a) <br />(b) <br />? (t) <br />(d) <br />(e) <br />(I) <br />941 <br />09/30/2017-XXX2291 <br />01/01/2018 <br />01/31/2028 <br />26825.94 <br />941 <br />12/31/2017 <br />XX-XXX2291 <br />03/26/2018 <br />04/25/2028 <br />86.50 <br />941 <br />03/31/2018 <br />Qt-XXX2291 <br />07/09/2018 <br />08/08/2028 <br />25873.91 <br />941 <br />06/30/2018 <br />XX <br />-L(2291 <br />09/24/2018 <br />10/24/2028 <br />25374.52 <br />Place of Filing <br />Register of Deeds <br />Hall POPDX1692 Total <br />$ 78160.87 <br />Grand Island, NS 68802-1692 <br />1. <br />This notice Was prepared and signed at CHICAGO • IL on thio, <br />the 09th day 0f November 2018 <br />Signature Jam` Tele <br />REVEZNBE OFFICER <br />for COLBVSCHWAN " (402) 473-4671 <br />(NOTE: Can 204101 of officer authorized t y law to take acknowledgment ie not essential to the validity of Notice of t=aderal Tax lien <br />Rev. Rel. 71-466, 1271 2 C.B. 409) •Form 668(Y)(c) ipev. 2-2004) <br />Pert I - Kept ay Recording Office CAT. NO a0025X <br />26-15-2122 <br />