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03/31/2004 17:46 FAX 14024714429 NEBRASKA UCC Q 002 /002 <br />r;~ <br />This notice was prepared and signed at <br />the 24th day of March <br />2004 <br />ST PAUL, MN <br />, on this, <br />Signature Title <br />' REVENUE OFFICER 29 -10 -2339 <br />for KAY PONTE (308) 384 -6667 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rey. RiJ 71 _QRR 1 0171 - 9 (' R 409) n— n onnA� <br />1008 <br />Department of the Treasury - Internal Revenue Service <br />Form 668 (Y)(c) <br />F Notice of Federal Tax Lien <br />(Rev. February 2004) <br />Area: <br />Serial Number <br />For Optional Use by Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (651) 312 -8080 <br />164335804 <br />"` s� •r s.... - cc s *� <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 />11 <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 />i <br />there is a lien in favor of the united States on all property and rights to <br />p Pe Y g <br />880432INES OF INC, 1 <br />CHIEF LINES OF NEBRASKA INC, R <br />property belonging to this taxpayer for the amount of these taxes, and <br />Filed: 03131/2004 03:16 PM <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer CHIEF LINES OF NEBRASKA INC , a Corporation <br />20-040314€ <br />Residence PO BOX 1044 <br />GRAND ISLAND, NE 68802 -1044 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a), <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refilling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />941 <br />03/31/2002 <br />47- 0786593 <br />09/09/2002 <br />10/09/2012 <br />478.59 <br />941 <br />12/31/2002 <br />47- 0786593 <br />12/15/2003 <br />01/14/2014 <br />8212.70 <br />941 <br />03/31/2003 <br />47- 0786593 <br />06/23/2003 <br />07/23/2013 <br />1486.26 <br />941 <br />06/30/2003 <br />47- 0786593 <br />12/22/2003 <br />01/21/2014 <br />2034 -56 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 12212.11 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 24th day of March <br />2004 <br />ST PAUL, MN <br />, on this, <br />Signature Title <br />' REVENUE OFFICER 29 -10 -2339 <br />for KAY PONTE (308) 384 -6667 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rey. RiJ 71 _QRR 1 0171 - 9 (' R 409) n— n onnA� <br />