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09/08/2004 11:17 FAX 14024714429 NEBRASKA UCC <br />C/Y <br />IA006/007 <br />This notice was prepared and signed at ST PAUL, IN <br />the 01st day of September 2004 <br />Signature � ACTS <br />� t t r <br />for S KILPATRICK (800) 829 -3903 <br />, on this, <br />sec9 <br />29 -00 -0008 <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.B. 409) Form 66SM(c) (Rev. 2 -2004) <br />Part l - Kept By Recording Office CAT. NO 60025X <br />1872 <br />Department of the Treasury - Internal Revenue Service ` <br />Form 668 (Y)(c) <br />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: (800) 829 -3903 <br />189828604 <br />C °f s+•46 . e<c FTL <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 />s9d4349418 -s Pea: 1 <br />property belonging to this taxpayer for the amount of these taxes, and <br />PARRIS TRUCKING INC A c RPORfi <br />Filed: 09/07/2004 011:41 PM <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer PARRIS TRUCKING INC , a Corporation <br />200408956 <br />Residence <br />PO BOX 910 <br />GRAND ISLAND, NE 68802 -0910 <br />PORTANT RELEASE INFORMATION: For each assessment listed below, <br />ss notice of the lien is refiled by the date given in column (e), this notice shall, <br />E <br />he day following such date, operate as a certificate of release as defined <br />RC 3325(a). <br />Tax Period <br />Date of <br />Last Day <br />for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />2290 <br />07/01/2003 <br />47- 0632739 <br />08/09/2004 <br />09/08/2014 <br />13332.00 <br />Place of Filing <br />Register of Deeds <br />Hall, POBOX 1692 <br />Total <br />$ 13332.00 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at ST PAUL, IN <br />the 01st day of September 2004 <br />Signature � ACTS <br />� t t r <br />for S KILPATRICK (800) 829 -3903 <br />, on this, <br />sec9 <br />29 -00 -0008 <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.B. 409) Form 66SM(c) (Rev. 2 -2004) <br />Part l - Kept By Recording Office CAT. NO 60025X <br />