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06/09/2005 08:55 FAX 14024714429 NEBRASKA UCC <br />A <br />Farm 668 (Y)(c) <br />(Rev.FebruarY 2004) <br />200505172 <br />1872 <br />Department of the Treasury - <br />Internal Revenue Service <br />Notice of Federal Tax Lien <br />c.., nl tinnal Use <br />Serial Number <br />Area: 230796505 <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (800) 93-3 -6050 <br />ps Provided by section 6321, 6322, and 6323 of the Internal Revenue <br />es <br />Code, we are giving a notice that taxes (including interer�We have made <br />have been assessed against the following-named taxpaY Therefore, <br />a demand for payment of this liability, but it remains unpaiand rights w On all property <br />there is a lien in favor this the payed States amount of these taxes, and <br />property belonging to this taxpaye accrue. <br />additional penalties, interest, and costs that may a Corporation <br />Name of Taxpayer D & D RESTAURANTS rNC , <br />Residence 3337 W STATE SNEP68 A03 0E000 <br />GRAND ISLAND, <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refile obeta certificate column <br />sleesethis notice shall, the date, given in <br />on the day following such date, P rate as <br />in IRC 6325(a)• <br />Place of Filing <br />Register of Deeds <br />Hall p ©BOX 1692 <br />Tsiand, NE 68802 -1692 <br />This notice was prepared and signed at <br />01st June 2005 <br />the day of <br />Signature <br />ST PAUL, MN <br />Last Day for <br />Refiling <br />(e <br />04/06/2015 <br />11/12/2013 <br />02/04/2014 <br />06/09/2014 <br />01/26/2015 <br />03/30/2015 <br />04/06/2015 <br />X1002/003 <br />Office <br />FTL <br />11 111111 <br />03.25 PM <br />Unpaid Balance <br />of Assessment <br />789.80 <br />78.79 <br />612.32 <br />315,92 <br />2867.12 <br />6468.21 <br />5158.42 <br />Total I$ 16274.58 <br />Title <br />REVENUE OFFICER <br />(308) 384--6667 <br />on this, <br />29 -10 -2339 <br />lidity of Notice of Federal Tax lien <br />for KAY PUN 1 r meet is not easenval w .,,a <br />.. _._,.a r.., ib,N rn take acknowledg c_._ AA8(yj(c) (Rev, 2 -20041 <br />Date of <br />Tax Period <br />Ending <br />Identifying Number <br />Assessment <br />Kind of Tax <br />(c <br />(d <br />a <br />940 <br />b <br />12,/-31/2003 <br />18 2 (58 <br />47= 0$81268 <br />00/03/2003 <br />941 <br />941 <br />003 <br />09/30/2Dpp3 <br />3B 13 <br />708$1265 <br />ol/oS/2004 <br />05/10/2004 <br />941 <br />12/31/2 <br />4 <br />941 <br />03/31/2004 2p04 <br />47- 0881265 <br />02/28/2005 <br />47- 0881268 <br />03/07/2005 <br />941 <br />09/30/2004 <br />Place of Filing <br />Register of Deeds <br />Hall p ©BOX 1692 <br />Tsiand, NE 68802 -1692 <br />This notice was prepared and signed at <br />01st June 2005 <br />the day of <br />Signature <br />ST PAUL, MN <br />Last Day for <br />Refiling <br />(e <br />04/06/2015 <br />11/12/2013 <br />02/04/2014 <br />06/09/2014 <br />01/26/2015 <br />03/30/2015 <br />04/06/2015 <br />X1002/003 <br />Office <br />FTL <br />11 111111 <br />03.25 PM <br />Unpaid Balance <br />of Assessment <br />789.80 <br />78.79 <br />612.32 <br />315,92 <br />2867.12 <br />6468.21 <br />5158.42 <br />Total I$ 16274.58 <br />Title <br />REVENUE OFFICER <br />(308) 384--6667 <br />on this, <br />29 -10 -2339 <br />lidity of Notice of Federal Tax lien <br />for KAY PUN 1 r meet is not easenval w .,,a <br />.. _._,.a r.., ib,N rn take acknowledg c_._ AA8(yj(c) (Rev, 2 -20041 <br />