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03/31/2005 17:13 FAX 14024714429 NEBRASKA UCC <br />os <br />fil <br />Form 666 (YAC) <br />(Rev. February 2004) <br />20050283 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Serial Number For Options <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 219646805 <br />Lien Unit Phone: (651) 312 -8060 <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 />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 DHS BUILDERS INCORPORATED , a Corporat- on <br />Use <br />1� 002/003 <br />UttIoe <br />FTL <br />Residence 1004 DIERS AVE STE 300 <br />GRAND ISLAND, NE 68803 -4962 <br />Ein[RC TANT RELEASE INFORMATION: For each assessment listed below, <br />otice of the lien is refiled by the date given in column (e), this notice shall, <br />ay following such date, operate as a certificate of release as defined <br />325(a)• <br />Tax Period Da te of Last Day for <br />lend of Tax Ending Identifying Number Assessment Refilling <br />(a (b) (c) (d) (e), <br />941 09/30/2004 47- 0645272 12/20/2004 01/19/2015 <br />Place of Piling <br />Register of Deeds <br />Hall POBOX 1692 7ota1 $ <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at ST PAUL, MN <br />the 22nd day of March 2005 <br />Signature J <br />�_-.r MICHAEL W PONTE <br />Title <br />REVENUE OFFICER <br />(30B) 384 -6668 <br />Unpaid Balance <br />of Assessment <br />(f) <br />14031.53 <br />14031.53 <br />an this, <br />29 -10 -2337 <br />,I <br />(NOTE. Certificate of officer authorized by law to take acknowledgment.is not essential to the validity of Notice of Federal I ax lien <br />Rev, Rul. 71 -466, 1971 - 2 C.B. 409) Form 668(Y)(c) ('FAv. 2 -2004) <br />­_ <br />._ rZ _ v... e.. 4.�..rA:nv Office rAT- ho 60025X <br />