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07/30/2004.15:47 FAX 14024714429 NEBRASKA UCC 003 /003 <br />200407623 <br />1872 <br />Department of the Treasury - Internal Revenue Service <br />Form 668 (Y)(c) <br />(Rev- February 2004) Notice of Federal Tax Lien <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 />162645004 <br />N= _am of S4. to - ucc rTL <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 />9904344409 -6 �_ f <br />property belonging to this taxpayer for the amount of these taxes, and <br />PREISENDORF PLUMBING & HTG INC <br />Filed: 07/3012004 `12:01 PM <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer PREISENDORF PLUMBING & HTG INC <br />a Corporation <br />Residence PO BOX 1341 <br />GRAND ISLAND, NE 68802 -1341 <br />NT RELEASE INFORMATION: For each assessment listed below, <br />e of the lien is refiled by the date given in column (e }, this notice shall, <br />EIRC <br />following such date, operate as a certificate of release as defined <br />(al. <br />Tax Period <br />Date of <br />Last Da for <br />U npaid 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 />12/31/2002 <br />47- 0688630 <br />09/08/2003 <br />10/08/2013 <br />2693.04 <br />941 <br />03/31/2003 <br />47- 0688630 <br />09/29/2003 <br />10/29/2013 <br />8614.82 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 11307.86 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 22nd day of July <br />Signature F <br />for PAT KELLOGG <br />ST PAUL, MN <br />2004 <br />r� Title <br />• �k ""-'z�'a1d. REVENUE OFFICER <br />(308) 384 -6662 <br />, on this, <br />29 -10 -2341 j C <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal 1 ax lien <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2 -2004) <br />Part 1 - Kept BY Recording Office CAT. NO 60025X <br />