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11/16/2000 16:54 FAX 1402471442 <br />0 <br />Fornn 668 (Y)(c) <br />(Rev. October 2000) <br />9 NEBRASKA UCC Z002/002 <br />y xE Stec` oifls`t1nlu - uc Department of the Treasury - Internal Revenue 99000970211111011111111 PyS } <br />CAFFE GENO INC, R CORPORATION <br />Notice of Federal Tax Lien Filed 11116/2000 01.39 FM <br />Area: <br />Serial Number <br />For Optional Use by Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA 49 <br />Lien Unit Phone: (414) 297 -3211 <br />390040882 <br />2 V 0 10 0 4 4 <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 />u <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 alien 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 CAFFE GE 140 INC , a Corporation <br />Residence 3412 W STATE <br />GRAND ISLAND, NE 68803 -2303 <br />T RELEASE INFORMATION: For each assessment listed below, <br />of the lien is refiled by the date given in column (e), this notice shall, <br />EtSh <br />following such date, operate as a certificate of release as defined <br />(a). <br />Tax Period <br />Date of <br />Last Day for <br />filing <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Re <br />of Assessment <br />a <br />b <br />c <br />d <br />e <br />f <br />941 <br />09/30/1998 <br />47- 0806241 <br />08/09/1999 <br />09/08/2009 <br />327.44 <br />941 <br />12/31/1998 <br />47- 0806241 <br />07/26/1999 <br />08/25/2009 <br />409C.33 <br />941 <br />03/31/1999 <br />47- 0806241 <br />06/14/1999 <br />07/14/2009 <br />231.80 <br />941 <br />06/30/1999 <br />47- 0806241 <br />09/13/1999 <br />10/13/2009 <br />1726.21 <br />941 <br />09/30/1999 <br />47- 0606241 <br />12/13/1999 <br />01/12/2010 <br />2588.97 <br />941 <br />12/31/1999 <br />47- 0806241 <br />03/27/2000 <br />04/26/2010 <br />256.62 <br />941 <br />03/31/2000 <br />47- 0606241 <br />07/03/2000 <br />08/02/2010 <br />2951.17 <br />941 <br />06/30/2000 <br />47- 0806241 <br />10/09/2000 <br />11/08/2010 <br />3517.67 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Hall POBOX 1692 <br />15690.21 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI - , on this, <br />the 10th day of November 2000 <br />Signature r % Revenue Officer 39 -01 -2339 <br />o O T error/ (308) 385 -6548 <br />NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity cf Netice of Federal Tax lien <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 10 -00) lY <br />Part t - Kept By Recording Office CAT. NO 60025X <br />