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11.!18/2002 16:43 FdX lA024714429 NEBRASKA PCC <br />1x003/004 <br />h <br />109 <br />V1. Department of the Treasury - Internal Revenue Service <br />Farm 666 (Y)(c) Notice of Federal Tax Lien 11h6p11II ° =lea °N,•lpll -pNN°rr IIN1 ''B1111,111IIIB6II Ip 1IIIIgIIIIp <br />PU Onoba.2Iti Fn II'l l 1111111191111II IIIIIIIIIIIIII 111 <br />Area: Stria Number <br />SMALL BC hone: (414) EMPLOYED AREA 09 <br />Lien Unit Phone: (414) 297-3211 390263159 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue gg ga_s os , <br />Code, we are In a notice that taxes (including interest and penalties 0serseaoi5,6T Satucucs tad, p c <br />giving B P vuoa: tan efteaz n .a an <br />have been assessed against the following -named taxpayer. We have made <br />a demand for payment of this gabilty, but it remains unpaid. Therefore, <br />there Is a lien in favor of the United Sates on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, haerest, and costs that may orange.' <br />Name of Taxpayer DREISBACHS STEAKHOUSE ?NC , a Corporal on <br />Residence 1137 S LOCUST ST <br />GRAND ISLAND, NE 68801 -6771 <br />200212815 <br />IMPORTANT RELEASE INFORMATION: For each i ssesement listed below, <br />unless notice of the lien is refiled by the data given in column lal, this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />is IRC 6325(a). <br />Tax Period <br />Date of <br />Last May 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 />12/31/2001 <br />47- 0530472 <br />04/22/2002 <br />05/22 /2012 <br />459.80 <br />941 <br />03/31/2002 <br />47- 0530472 <br />08/12/2002 <br />09/11/2012 <br />810.45 <br />941 <br />06/30/2002 <br />47- 0530472 <br />09/30/2002 <br />10/30/2012 <br />7369.59 <br />Place of Ring <br />Register of Deeds Total <br />$ <br />Hall POBOY 1692, <br />86x9.84 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at - MILWAUKEE, WI , on this, <br />11-t-1 day 2002 <br />the _ day of r _ _ <br />Signature s' y, Title <br />g REVENUE OFFICER 29 -:0 -2337 <br />for MICHAEL W FONTE (306) 384 -6668 <br />(NOTE: Cartificeta of officer auth ieed by law to take acknowle6gmart is not essential to the validity of Netice of Fsder.1 Tax lien <br />Rev. Rut. 71-466,1971 - 2 C.B. 409) corm 66111(T)(e) (Rev. 10 -001 <br />Pan I - Kept By Recording Oman CAT. NO 60025X <br />