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State of Nebraska <br />5/7/2019 3:22:39 PM PAGE 5/008 2111s911216 0 <br />NE Se, or Stare - Robert Ei Evnen <br />Filing Document ft:19uSuou3A-'.• Pages: 1 <br />Debtor Name8 &B 2A1 -:PET SERVREE INC A Cf_)RE01-LAT <br />Filing Date and T e _n5d.r7/201? 11 41 AM <br />Form 660 (Y)(t) <br />Notice of Federal Tax Lien <br />1 74 <br />kr) <br />Dtwerunc.int Trt.-3:4SAgy - Intuma Revenue <br />••••• <br />Ser4- Nt.allber <br />S0-IAI,3, -513E IIN-EssEs,F' Ei,IPI,;)YE•31) AREA if f; <br />Lr. U811 Phonc.n. (+30t7) 99_ ,r)5f) 35291511!) <br />As prvvided by section 632f, 6122. and 6321 of the Internal Revenue <br />Code, we are giving a no-cice 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 liabinty, but it remains unpaid. Therefore, <br />there is a lien in favor of the 'United States ois an property and rights to <br />property belonging to this taxpayer for the antont of these axe, and <br />additional penalties, interest, and c,sits that may accrue. <br />rqb:,na: et t,fre,..on-ii;cr Office <br />Nj!rfiElo T8xpa)(er P E CARPET SERVICE INC <br />tt Co.rpc-ra tiori <br />Res;cienrA PO BOX ti <br />DONIPHAN, NE 6Sg32-0006 <br />40041.00•PNOWINO. <br />IMPORTANT RELEASE !INFORMATION; For each a,-,se'atav,'r4 <br />zlv tz, u.Ifikaj th,ar; given ie coltirrth IeC this sha;t <br />On t he. dav for:5wn:9 rjate, operate c.ertiter.,:,sM 8t reteas.s <br />kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />identifyine Nermber <br />(c) <br />Date of <br />Assessment <br />(4) <br />Last Day for Unpaid Balance <br />Railing of Assessment <br />(0 <br />(f) <br />9,13_ <br />XX-XXX221 <br />04/01/2019 <br />0'3/c:1/2;32 <br />22i0 .02 <br />Ple.:6,3ol RI;ng <br />RegMter of Deedo <br />flail POEOX 1692 <br />Itiland, NO 68802-162 <br />Tota; <br />2.5210.02 <br />Thts notice was prepared and sk:Pled at <br />the <br />lath P.pr <br />day of <br />riattir•O <br />CHICAGO, IL. <br />2019 <br />• <br />, 00 th, <br />fide <br />REVENUE: OFFICER <br />or C<DIAB" S (4()2) 473-16-71 <br />25-15-2722 <br />(NOTE: ;..rertifk,-..aza .):Or tt SS f) ,1(..1,),...veft1,...;:1“-,-o: Note -:a oI Froere: <br />Rk.a. -4450. 3 <br />P.arr 1 Kept Be' RecoNlitagOfficy <br />r-nrrs. 6680')(c) <br />040. 110 E;0020:< <br />