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_tom <br />I,1 <br />06/05/2003 16:58 FAX 14024714429 NEBRASKA LICC <br />109 <br />Department of the Treasury - Internal Revenue Service <br />Forth 668 (Y)(c) <br />ffiev. October 20001 Notice of Federal Tax Lien <br />Area: Serial Number <br />SMALL BUSINESS /SELF EMPLOYED AREA ##9 <br />Lien Unit Phone: (414) 297 -3211 390370936 <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 />nave 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 />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer SHAFER INC , a Corporation <br />Residence 1004 DIERS AVE STE 300 <br />GRAND ISLAND, NE 68803 -4962 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien 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 6325(a). <br />Ia003/o05 <br />OTL <br />I AM <br />200307156 <br />Tax Period Date of Last Dayy for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refil;ing of Assessment <br />a b c d e) " (f) <br />941 12/31/2002 91- 1847680 03/10/2003 04/09/2013 23182.20 <br />Place of Filing <br />Register of Deeds Total $ <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI <br />the 30th day of May 2003 <br />23182.20 <br />, on th s, <br />Si hat Title <br />g REVENUE OFFICER 29 -10 -2337 <br />fo W FONTE (308) 384 -6668 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validi;v of tJotice of Federal Tax lien J , <br />Rev, Rul, 71-468,1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 10 -001 " <br />Part t - Kent By Recordin¢ Office r n r nin Ann ')s Y <br />