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03/06/2003 10:29 FAX 14024714429 NEBRASKA IICC <br />c. <br />r; <br />i <br />Form 668 (y)(c) <br />(Rev. October 2000r <br />?00302— <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Q002/000 <br />Area: <br />Serial Number <br />For Optional Use by Recmdm9 Office <br />SMALL BUS=SS /SELF EMPLOYED AREA 59 <br />I <br />Lien Unit Phena: (414) 291 -3211 <br />390367133 <br />II fprpppNr�pppp•• us¢ oppp ITL <br />yl <br />As provided by section 6321, 6322, and 6323 of the <br />and <br />Code, we we t at tax <br />a notice that rotes (including Interest and <br />st enall <br />IJ Illlu'p IIIIAI�flnll <br />INuI IIJIIVII <br />e assessed <br />have been assessed against the fo8otehtg -named taxpayer. We have made <br />have made <br />I I <br />�I �I <br />a demand for payment of this liability, but It remains unpaid. Therefore, <br />pulflllul Nlul <br />there is a Men in favor of the United States on all property and rights to <br />oeeaxet -s <br />property belonging to this taxpayer for the amount of these taxes, and <br />r: "t ma/IieAti°m�a aaptu10W <br />additional petuities, Interest, and costs that may accrue. <br />Name of Taxpayer SHAFER INC , a Corporatlor. <br />Residence 1004 DIERS AVE STE 300 <br />GRAND ISLAND, NE 68803 -4962 <br />IMPORTANT RELEASE INFORMATION: For each a=tl below. <br />unless notice of the lien is refilad oy the date given in column (a), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325la). <br />Tax Period <br />Date of <br />Last Mail yy for <br />Unpaid Bslanu <br />Kind of Tax <br />Fading <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a ) <br />t <br />d <br />e <br />941 <br />C3/31/2001 <br />91- 1847680 <br />C2/03/2003 <br />03/05/2013 <br />10708.44 <br />941 <br />06/30/2001 <br />91- 1847680 <br />02/03/2003 <br />03/05/2013 <br />11774.57 <br />Place Of Filing <br />Register of Deeds <br />5 <br />Hall PORO% 1692 <br />Total <br />22483.01 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 26th- day of February 2003 <br />MILWAUKEE, WI <br />On this, <br />Signature s-L ': ./n .✓ y Title <br />r" ,,((g7 'r_( —.. 1 4�°' REVENJE OFFICER 29 -10 -234'_ <br />for PAT �LOGG (308) 384 -6662 <br />(NOTE: Cart!`keie o`. officer auNOrized.by law m take adecow etlgmeiC is not essendsl to the validity cf Notioe eh- Fetlerel Tai lien <br />Rsv. Rul. T- 466, 1971 - 2 C.B. 4091 - rm 668M(e) IRev. 10 -0C1 <br />0 <br />