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202406025 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2411000773-5 Pages: 1 <br />Debtor Name: TOMS DELIVERY SERVICE INC A CORPORA <br />Filing Date and Time: 11/26/2024 09:39 AM <br />Form 668 (YXc) <br />(Rev. February 2004041 <br />3005 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA $6 <br />Lien Unit Phone: (80o) 913-6050 <br />Serial Number <br />504498824 <br />For Optional Use try Recording Office <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are Wag a no** that taxes (including interest and penalties) <br />have been assessed against the following -named taxpayer. We have made <br />a demand for payment of this liability, but It remains unpaid. Therefore, <br />there is a lien in favor of the United States on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer TOMS DELIVERY SERVICE INC <br />a Corporation <br />Residence 2407 W 4TH ST <br />GRAND ISLAND, NE 68803-4507 <br />IMPORTANT RELEASE INFORMATION: For each assessment hated below, <br />unless notice of the lien is raffled by the date given in column (el, this notice shell, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 63251a). <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last for <br />(e) <br />Unpaid Balance <br />of Assessment <br />(I) <br />941 <br />06/30/2024 <br />XX-XXX6303 <br />09/30/2024 <br />10/30/2034 <br />43561.86 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 43561.86 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the 01st day of November 2024 <br />Signature"a.tr- <br />Ee <br />REVENUE OFFICER <br />for ABBY ALLEN (402) 473-4627 <br />26-14-4813 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rid. 71.466, 1971 - 2 C.B. 409) Form 6411(Y)(c) (Rev. 2-2004) <br />CAT. NO 60025X <br />Part I - Kepi By Recording Office <br />