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I <br />07/20/2004 08:38 FAX 14024714429 <br />NEBRASKA UCC <br />Z007 <br />This notice was prepared and signed at <br />the 05th day of July <br />2004 <br />ST PAUL, MN <br />on this, <br />Signature er ,�� xj Title <br />ft's 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 />Rev. Rul. 71 -466, 1971 - 2 C.R. 409) <br />Form 668(7)(1) (Rev. 2_2004) <br />I <br />1008 <br />Department of the Treasury - Internal Revenue Service <br />Form 66B (Y)(c) <br />20040715 <br />(Rev. February 2004) <br />Notice of Federal Tax Lien <br />Area: Serial Number For Optional Use by Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA ##9 <br />Lien Unit Phone: (651) 312 -8080 180604504 HE s•... SA.*. _ uCC F L <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 9904342as2 -9 Pos; 1 <br />GOSAN INC, A CORPORATION <br />property belonging to this taxpayer for the amount of these taxes, and Filed: 07/16/2004 04:41 PM <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer GOSAN INC , a Corporation <br />Residence 1010 E BISMARK <br />GRAND ISLAND, NE 68801 -8126 <br />LEASE INFORMATION: For each assessment listed below, <br />lien is refiled by the date given in column (e), this notice shall, <br />=6325(a). <br />ng such date, operate as a certificate of release as defined <br />Tax Period Date of Last Day for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refilling of Assessment <br />(a) (b) (c) (d) (e) (f) <br />941 <br />09/30/2002 <br />47- 0838370 <br />04/19/2004 <br />05/19/2014 <br />9224.37 <br />941 <br />12/31/2002 <br />47- 0838370 <br />04/19/2004 <br />05/19/2014 <br />20182.32 <br />941 <br />12/31/2003 <br />47- 0838370 <br />03/01/2004 <br />03/31/2014 <br />373.74 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 29780.43 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 05th day of July <br />2004 <br />ST PAUL, MN <br />on this, <br />Signature er ,�� xj Title <br />ft's 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 />Rev. Rul. 71 -466, 1971 - 2 C.R. 409) <br />Form 668(7)(1) (Rev. 2_2004) <br />I <br />