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11/17/2004 17:35 FAX 14024714429 10 1872 NEBRASKA UCC [it 010/010 This notice was prepared and signed at the 05th day of November 2004 ST PAUL, MN on this,, f Signature Title REVENUE OFFICER 29 -10 -2337 for MICHAEL W PONTE 1 (308) 384 -6668 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rif. 71 -466, 1971 - 2 C.B. 409) Form 668(Y)(e) (Rev. 2 -2004) Dart 1 - llf nt Rv Rocnrdinr Office nn r sin enn�ry I Department of the Treasury - Internal Revenue Service Form 668 (Y)(c) Notice of Federal Tau Lien (Rev. February 2004) Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS /SELF EMPLOYED AREA #9 Lien Unit Phone: (651) 312 -8080 199535704 ME :.0 Df 3168.. - ucc FTL As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice that taxes (including interest and penalties) have been assessed against the following -named taxpayer. We have made i a demand for payment of this liability, but it remains unpaid. Therefore, there is a lien in favor of the United States on all property and rights to property belonging to this taxpayer for the amount of these taxes, and 9eeasaesU -s additional penalties, interest, and costs that may accrue. Fii d; 11111177/ie�0f:�4®0 PA A C Name of Taxpayer DHS BUILDERS INCORPORATED , a Corporation Residence 1004 DIERS AVE STE 300 GRAND ISLAND, NE 68803 -4962 200411219 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the lien is retiled by the date given in column (e), this notice shall, on the day following such date, operate as a certificate of release as defioed in 1RC 6325(a). Tax Period Date of Last Da for unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (a) (b) (c) (d) (e) (f) 1120 12/31/2002 47- 0845272 11/10/2003 12/10/2013 7866.85 940 12/31/2003 47- 0845272 04/26/2004 05/26/2014 18849.55 941 09/30/2003 47- 0845272 04/19/2004 05/19/2014 13796.31 941 12/31/2003 47- 0845272 04/19/2004 05/19/2014 25661.76 Place of Filing Register of Deeds Hall POBOX 1692 Total $ 66174.47 Grand Island, NE 68802 -1692 This notice was prepared and signed at the 05th day of November 2004 ST PAUL, MN on this,, f Signature Title REVENUE OFFICER 29 -10 -2337 for MICHAEL W PONTE 1 (308) 384 -6668 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rif. 71 -466, 1971 - 2 C.B. 409) Form 668(Y)(e) (Rev. 2 -2004) Dart 1 - llf nt Rv Rocnrdinr Office nn r sin enn�ry I