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03/22/2005 09:59 FAX 14024714429 NEBRASKA UCC 16006/006 <br />20050?46 <br />0� <br />This notice was prepared and signed at <br />the 15th day of March <br />2005 <br />ST PAUL, MN <br />on this, <br />.� y7 <br />Signature Title <br />REVENUE OFFICER 29 -10 -2341 <br />for PAT KELLOGG 1 (308) 384 -6662 <br />(NOTE- Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2 -2004) <br />Part 1 - Kept Bx Recording Office CAT. NO 60025)Cfr <br />1872 <br />Department of the Treasury - Internal Revenue Service <br />Form 668 (Y)(c) <br />Notice of Federal Tax Lien <br />(Rev. February 2004) <br />Area. <br />Serial Number <br />For Optional Use by Recording Office <br />nr sae of 5*045 . occ Fn <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone; (651) 312 -8080 <br />218618005 <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 />have 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 />99es395331- Pon: f <br />SURE SOUND R LIGHTING INC. a e <br />property belonging to this taxpayer for the amount of these taxes, and <br />Filed: 03/21/2008 03:84 PM <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer SURE SOUND & LIGHTING INC , a Corporation <br />Residence 331 N JEFFERSON <br />GRAND ISLAND, NE 68801.4757 <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 />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />a <br />b <br />(c) <br />(d) <br />(e) <br />(f) <br />941 <br />12/31/2003 <br />47- 0806841 <br />03/29/2004 <br />04/28/2014 <br />251.59 <br />941 <br />03/31/2004 <br />47--0806841 <br />07/05/2004 <br />08/04/2014 <br />271.52 <br />941 <br />06/30/2004 <br />47- 0806841 <br />08/23/2004 <br />09/22/2014 <br />9619.50 <br />941 <br />09/30/2004 <br />47- 0806841 <br />01/03/2005 <br />02/02/2015 <br />8992.45 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 19135.06 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 15th day of March <br />2005 <br />ST PAUL, MN <br />on this, <br />.� y7 <br />Signature Title <br />REVENUE OFFICER 29 -10 -2341 <br />for PAT KELLOGG 1 (308) 384 -6662 <br />(NOTE- Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2 -2004) <br />Part 1 - Kept Bx Recording Office CAT. NO 60025)Cfr <br />