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08/1- 4/2003 16:57 FAX 14024714429 NEBRASKA UCC <br />12064/005 <br />r^� N! Sec rf Slab • YCC F% <br />V 0 p C I <br />Department of the Treasury - Internal Revenue S <br />Form 668 (Y)(c) <br />tRev. October 2000) Notice of Federal Tax Lien <br />Area: Serial Number For 9 03-- 322 -5 Pas: t <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 PROFESSIONAL. SERVICES INC, R C <br />Lien Unit Pnone: (651) 312 -6080 127988803 Filed, 06/142093 03:47 PM <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) 200310717 <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 Hen 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 PROFESSIONA:, SERVICES INC , a Corwrat or, <br />Residence PO BOX 1273 <br />GRAND ISLAND, NE 68802 -1273 <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(x). <br />Tax Period <br />I Date of <br />Last Day for <br />Unpaid Balance <br />IGnd 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 />06/30/2001 <br />47- 0700621 <br />04/14/2003 <br />05/14/2013 <br />1859 -54 <br />941 <br />09/30/2001 <br />47- 0700621 <br />04/07/2003 <br />05/07/2013 <br />6096.27 <br />941 <br />12/31/2001 <br />47= 0700621 <br />04/14/2003 <br />05/14/2013 <br />5434.97 <br />941 <br />12/31/2002 <br />47- 0700621 <br />04/14/2003 <br />05/14/2013 <br />4875.34 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total $ 18266.12 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at ST PAUL, MN _ , on this, <br />the 0 B th day of August 2003 <br />Si nature VW <br />8 A P REVENUE OFFICER 29 -10 -2341 <br />for PAT KELLOGG (308) 384 -6662 <br />(NOTE: Certificate of officer authorized by law to take acknowiedgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466,1971 - 2 C.B. 409) Parr 1 _ Want Qorrr <br />Form 668(Y)(c) (Rev. 10 -00) <br />P �rlino [1(fira <br />I <br />tt <br />1F <br />