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06/04!2002 16:16 FAX 14024714420 <br />NEBRASKA ❑CC <br />2003/003 <br />- <br />109 <br />Department of the Treasury - Internal Revenue <br />Service <br />Form 668 (Y)(c) <br />!Rev. October 2000 <br />Notice of Federal Tax Lien <br />N1.'•° °f <br />PC <br />.,•,. - ore Fn <br />I � <br />Area: <br />Serial Number <br />SMALL BUSINESS /SELF EMPLOYEE AREA 49 <br />Lien Unit Phone: 1414) 297 -3211 <br />390257322 <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 />g es tasea <br />6ETTEe <br />-s Fe, t <br />6U,11_T CONSTRUCTION IN^., <br />have been assessed against the following -named taxpayer. We have made <br />F,a <br />09/04/2002 02:06 PM <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there is a Ilen 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 />ration <br />Name of Taxpayer PET—ER BUILT CONSTRUC ^ION INC , a Corp <br />20020600 <br />Residence _429 ARAPAHOE AVE <br />GRAND ISLAND, NE 68B03 -3823 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien Is refiled by the date given in column le), this notice shall, <br />on the day following such date, operate as a certricate of release as defined <br />in IRC 6325(x). <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refilling <br />of Assessment <br />a <br />(b ) <br />(c) <br />(d) <br />(e ) <br />f <br />941 <br />09/30/2000 <br />47- 0653989 <br />1.2/25/2000 <br />01/24/2011 <br />2944.74 <br />941 <br />12/31/2000 <br />47- 0653989 <br />03/19/2001 <br />04/18/2011 <br />4576.44 <br />941 <br />03/31/2001 <br />47- 0653989 <br />12,/10/2001 <br />01/09/2012 <br />1104.99 <br />941 <br />12/31/2001 <br />47- 0653989 <br />04/15/2002 <br />05/15/2012 <br />19702.36 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Hall POBOX 1692 <br />27328.53 <br />Grand Island, NE 68802 -1692 <br />This notice was p spared and signed at <br />the 30th day of May <br />2002 <br />MILWAUKEE, WI <br />, on this, <br />3 <br />Signature Title <br />����, j��� REVENUE, OFFICER 29 -10 -2339 <br />for KAY PONTE / (308) 384 -6667 1(' <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not esaential to the validity of Notice of Federal TaN lien <br />Rev- Rol. 71 -466, 1971 - 2 C.B. 409) Form 668(7)(() (Rev. 10 -J0) <br />Part I - Kept By Recording Office, CAT, NO 60025X <br />A <br />