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08/15/2003 16:27 FAX 14024714429 NEBRASKA UCC 1x002/002 <br />100 <br />orm 668 (Y)(c) Department of the Treasury - lnternal Revenue Service <br />(Rev. October 2000, 1 Notice of Federal Tax Lien <br />Area: I Serial Number <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (651) 322 -8080 129107403 <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 DREISBACHS STEAKHOUSE INC , a Corporat <br />Residence 1137 S LOCUST ST <br />GRAND ISLAND, NE 68801 <br />For Optional Use by Recording Office <br />Na 14C of S4648 - UCC CTL <br />9903290607 -7 Poe: t <br />DREISBACHS STEAKHOUSE INC. A C <br />Filed: 09/16/2003 11:42 AA <br />on <br />L ORTANT RELEASE. INFORMATION: For each assessment listed below, <br />notice of the lien is refiled by the date given in column (e), this notice shall, <br />e day following such date, operate as a certificate of release as defined <br />63251a). <br />Tax Period Date of Last Day for <br />Kind of Tax Ending Identifying Mumber Assessment Refilling <br />(a) (b) c (d) (e) <br />940 12/31/2000 47- 0530472 03/12/2001 04/11/2011 <br />940 12/31/2000 47- 0530472 06/02/2003 07/02/2013 <br />200310884 <br />Unpaid Balance <br />of Assessment <br />0'90.62 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total $ 69C - 62 <br />Grand Island, NE 69802 -1692 <br />This notice was prepared and signed at ST PAUL, MIST , on this, <br />the 12th day of August 2003 <br />Signature ' Title <br />�o?L' REVENUE OFFICER 29 -10 -2337 <br />for MICHAEL W PONTE (308) 384 -6668 <br />(NOTE: Certificate of officer authorized by law to take acknowledgrnent 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, 10 -00) <br />Part 1 •Kept By RecordlnY Oftice <br />CAT. NO 60025X <br />