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03/13/2003 15:45 FAX 14024714420 NEBRASKA UCC <br />[a 002/002 <br />IIIIYI�IOI^Il r• iNi IqI �Iiilprlll��Ipliil I1IIIto <br />109 a �I�IIIII �IIII�IINIIII�IIII <br />Department of the Treasury - Internal Revenue <br />Forn 668 (1�(<) Notice of Federal Tax Lien <br />IPev. Octewr 20001 <br />Area: Serial Number F° aP9E 9BgWCl�s yTepslreuee mea.p <br />SHALL BUSINESS /SELF EMPLOYED AREA 99 Fal4d: Dal to /2003 12:m6 PA <br />Lien Unit Phone: 14141 297 -3211 390367623 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a angles that axes (Including intense sold penalties) <br />have been assessed against the following -named taxpayer. We have made <br />a demand for pryment of this Iiabalty, but it remains unpaid. Therefore, <br />then In a lino In favor of the Linked States on a8 property and rights to <br />property belonging to this taxpayer far the amount of these taxes, and <br />additional penalties, Inherent, and costs that may accrue. 200302964 <br />Name of Taxpayer DREISBACHS STEAKHOUSE INC , a COrporat on <br />Residence 1609 SPRING RD <br />GRAND ISLAND, NE 68801 -7039 <br />IMPORTANT RELEASE INFORMATION: For each assesement listed below, <br />unless notice of the Ilea is refiled by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 63251.). <br />Tsar Period Dap of Last Daayy for <br />IGnd of Tex Ending Identifying Number Asseocment RefBlog <br />(a b) (c) d e) <br />941 09/30/2002 47- 0530472 11/25/2002 12/25/2D12 <br />Place of Filing <br />Register of Deeds Total $ <br />Hall FORCE 1692 <br />Grand Island, NE 68602 -1692 <br />This notice was prepared and signed at <br />the =0th day of March 2003 <br />MILWAUKEE, WI <br />Unpaid Balance <br />of Assessment <br />6294.17 <br />6294.17 <br />on this, <br />Signa:ure 02104 rj Title <br />VV REVEK1:E OFFICER 23- 10 -233) <br />for MICHAEL W PONTE (308) 384 -6668 <br />(WOTE: Certificate of officer authorized bylaw to take acknowl.dgmett is not eaaental to the vaPdlty of Notice of =ederel Tax lien <br />Rev. Rul. 71-466,1971 - 2 C.B. 6091 Form 664(y)(O (Ray. 10 -00) <br />P.m t - Kept By PerrdEmg 0- to car. NO 9002.' X <br />t <br />i <br />i <br />