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07/12/2005 16:49 FAX 14024714429 NEBRASKA UCC <br />9 <br />Form 668 MW <br />(Rev. February 20041 <br />1872 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (800) 913 -6050 235667805 <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 'casts that may accrue. <br />Q003/006 <br />a o0 506374 <br />For Optional Use by Recording Office <br />uCC Fri <br />Ns sre o1 si ■�. - <br />I <br />I <br />I <br />i <br />i <br />9905402950 -6 Pas: 1 <br />DHS BUILDER6 INCORPORATED, A C 1 <br />Filed: 0711212005 12:42 PM <br />Name of Taxpayer DHS BUILDERS INCORPORATED , a Corporat+on <br />Residence _ 819 DIERS AVE STE 1 <br />GRANS ISLAND, NE 68803 -4957 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien -is raffled 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 Date of Last Day for <br />Kind of Tax Ending Identifying Number Assessment Refilling <br />(a) (b) c d) (e) <br />941 12/31/2004 47- 0845272 02/21/2005 03/23/2015 <br />u <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total $ <br />Grand Island, NE 68802 -1692. <br />This notice was prepared and signed at ST PAUL, MN <br />the 30th day of June 2005 <br />Unpaid Balance <br />of Assessment <br />5584.41 <br />5584.41 <br />, on this, <br />Signature Title <br />REVENUE OFFICER 29 -10 -2337 <br />fog MICHAEL W PONTE (308) 384 -6668 <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 BY Recording Office CAT. NO 60025X <br />