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11/18/2002 16:44 FAX 14924714429 <br />IM 004/004 <br />1% 109 <br />�1 Department of the Treasury - Internal Revenue Service <br />Facts bbg m(t) <br />isev once Notice of Federal Tax Lien III <br />. • z000l wNN,.. .r s,.Irgg.I .'pNlucc IIIIIII� <br />Lien Serial Number Illllll�lll lnlll�lllll�lllll��l <br />SMALL BUSINESS /SELF EMPLOYED AREA p9 I�NiIUN( �IgIR II((I( <br />Lien Unit Phone: (414) 19'1 -3211 3902633 G1 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue seeax4ESag -a Pae 1 <br />Code, we are gliing a notice that taxes (Including Interest and penalties) sBaFVI tnc P 001111 4noe <br />have been assessed against the fogowing -named taxpayer. We have made v +t•a. 1lrigreoa: 11,13 am <br />a demand for payment of this III but it remains unpaid. Therefore, <br />there Is a lien he 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 />Nnma n1 Taxnaver SHAFER INC . a CorDOratl On <br />'_004 <br />200212814 <br />Residence DIERS AVE STE 300 <br />GRAND ISLAND, NE 68803 <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 fallowing such date, operate as a certificate of release as defined <br />In IRC 5326(e). <br />Tax Period <br />Dale of <br />Lass Daayy for <br />Uopaid Balance <br />land of Tax <br />Ending <br />Idendfiring Number <br />Assessment <br />RtRling <br />of Assessment <br />(a) <br />(b) <br />c <br />(d <br />e <br />- f <br />941 <br />12/31/2001 <br />91- 1847680 <br />03/18/2002 <br />04/17/2012 <br />88_7.89 <br />941 <br />03/31/2002 <br />91- 1847680 <br />07/01/2002 <br />C7/31/2012 <br />1254.22 <br />941 <br />06/30/2002 <br />91- 1847680 <br />09/02/2002 <br />10/02/2012 <br />44671.47 <br />Place of Filing <br />Register of Deeds Toral $ <br />Hall POBOX _692 54.743.56 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at MILWAUKEE, Wl , on -Lis, <br />the 14th day of NoVelnber 2002 <br />Signature Title <br />�.y��,+ r REVENUE OFFICER 29 -10 -2341 <br />for PAT KEL:A4Ge (308) 384 -6662 <br />(NOTE: Certificate of officer authvio.d by law to fake acknowledgments not essential to me vallClry of Nonce of Federal Tex lien <br />Rev. Rul. 71 -666, 19)1 - 2 C.B. 4091 Form 66e(Y)(c) IFev. 10 -001 <br />Past 1 - Kaat BY aawrdlna Office rAT. NO 6002EX <br />