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State of Nebraska 9/11/2019 3:48:24 PM PAGE 3/004 Fax Server <br />NE Sec of State - Robut B. Evnen <br />Filing Document #:1909000541-1 Pages: 1 <br />Dcbter Namr TOMS DELIVERY SERVICE INCA CORPORA <br />F ding D atc and Tim c. 09/112019 11.46 AM <br />201905623 <br />1.7480 <br />Form 668 (Y)(c) <br />De(lar1rten1 : the Troau_,ury .. Internal Revenue Service <br />Notice of Federal. Tax Lien <br />Area: <br />SMA -3,1, B:"+ST.NSS /: SLF ?.11.1=LO'iL2o AR EA <br />Lien Unit Phone.: itie()) 9'3-3-6050 <br />Soriel1 Number <br />.137HO9li- .9 <br />...r Oi :ina4I t>se; by Rec��re;r1-- (?itkec <br />As provided try 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 sights to <br />property belonging io this taxpayer for the amount of these taxes, and <br />additional penalties, interest. and casts that may accrue. <br />Norte of Taxpayer Tom.) DELIVERY SERVICE INC <br />a Corporation <br />Residence <br />24.07 J: 4TH ST <br />GRAND ISLAND, NE 68.80A-4507 <br />IMPORTANT RELEASE INFORMATION: for °-°acn assessment fisted below, <br />c$r1ss notice of the iiert is refiled by the date 9iveY il: collla:n id! t12iS notice sra711. <br />on the ray followins >t;tai ate. 0091:510 as a certificate et rtaense as __q<nsti <br />to ;K: 1 325ti. <br />Kind of Tax <br />(a) <br />941. <br />Tax Period <br />Ending <br />(b) <br />Date of <br />Identifying Number Assessment <br />(c) (d) <br />Last Day for <br />Renting <br />fe) <br />Unpaid Balance <br />of Assessment <br />(I) <br />03/3 1/2019 <br />Xt -- XXX 6 3 03 0-2/29/2019 <br />08/28,12029 <br />21504.60 <br />Piave of F Iint9 <br />Reg -Later of Deeds <br />Hall. POB>X 1692. <br />Grizid Island, NE 68802-1592 <br />Total <br />$ 21SC4..€0 <br />This notice .^..:t; prepared and signed at <br />the 2-2d day 111 August <br />2019 <br />CHICAGO, TL <br />, this. <br />Signaorre <br />tor C'Jt,BY SCH44AN <br />Title <br />REVENUE OFFICER <br />402) 473-4631 <br />26_15.-2722 <br />TC}TC: t:emtir,fr:e ;;t olf o1r eutaorizoU by 1.7+v 701,q1c,e o.ckno4`;...pcg ?Rut is tx,1 se,-o,o1 tU th!> irf Federal Tex Mn <br />Rt. ; 1 -mitt, . 971 2 C -E. 4095 <br />Part I - Kept v Recording Office 90rm 668(0(t) 1R1.v. 2-.2004i <br />CAI. Pa) ;3002:6X <br />