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02/24/2004 09:43 FAX 14024714429 NEBRASKA UCC <br />1008 <br />Department of the Treasury - Internal Revenue Service <br />Fonn 668 (Y)(c) Notice of Federal Tax Lien <br />(Rev. February 2004) <br />Area: Serial Number For Optional Use <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (651) 312 -8080 158183504 <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 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 VAULT ENTERPRISES INC , a Corporation <br />OS he of S' <br />10003/004 <br />Office <br />m <br />I <br />I <br />INC, R CORPO <br />01:54 PM <br />Residence PO BOX 1064 <br />GRAND ISLAND, NE 68802 -1064 <br />200401659 <br />E_.JnlRC TANT RELEASE INFORMATION: For each assessment listed below, <br />otice of the lien is refiled by the date given in column (e), this notice shall, <br />day following such date, operate as a certificate of release as defined <br />63251a). <br />Tax. Period Date of Last'Dayy for Unpaid Balance <br />lUnd of Tax Ending Identifying Number Assessment Refiling of Assessment <br />(a) (b) (c) (d) (e) f) <br />941 09/30/2003 47- 0638911 12/29/2003 01/28/2014 7656,.35 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total $ .7656.35 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at ST PAUL, MN on.this, <br />the 18th day of February 2004 <br />0 G <br />6�1: <br />Signature R Title <br />,a v� REVENUE OFFICER 29 -10 -2341 <br />for PAT KELG Eg''`g (308) 384 -6662 <br />„` <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice.. of Federal Tax -lien <br />Ro R,iL 71 -466. 1971 - 2 C.B. 409): .- . - - - Form 66SM(S) (Rev. 2 -2004) <br />