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10/23/2003 08:301 FAX 14024714429 NEBRASKA UCC <br />[a 0031003 <br />This notice was prepared and signed at <br />the 17t' -1 day of October <br />2003 <br />ST PAUL, MNr <br />on �nis, <br />Sigratwe 3� ,, Ti le <br />� <br />, RSVEh -UE OFFICER. 29- 10 -23 -9 <br />for 'KAY PON (308) 384 -5667 <br />(NOTE: Cer-ific:ate of officer authorized oy law to take acknowledgment is not essartial to tree valldi *y of Notica of Federal Tax lien <br />ev. RUI. 71-466,1971 - 2 C.B. 409; Form 665(Y)(e) (Rev. 10 -00; <br />1008 <br />Department of the Treasury - internal Revenue Service <br />Form 668 (Y)(0 <br />Notice of Federal Tax Lien <br />(Rev. October 2000) <br />Area: <br />Sericl Number <br />For Optional Use by Fecording Office <br />NI s.e 0 u.4. - JCC an <br />$I m EUSINESSf SEL± EMPLOYED A— EA #9 <br />Lien Unit Phone: (651) 312 -3080 <br />13955iG03 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the following -named taxpayer. We have made <br />a demand For payment of this liability, but It remains unpaid. Therefore, <br />0003300424 -4 P90 1 <br />dhere is a lien in favor of the United States on all property and rights to <br />SUPER 84W1 ENTERPRISES INC, p <br />Filed: 10/2212908 04:17 PP <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penatles, interest, and costs that may accrue. <br />ion. <br />Name of Taxpayer SUPER BOWL ENTERPRISES INC , a Corpera <br />2 0 0 3 t 4 0 6 3 <br />Residence 1010 E BI STMARK RD <br />GRAND ISLAND, NE 58601 -8126 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />awnless notice of the lien is refiled by the date given in column Ie), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />In IRC 6325(ai. <br />Tax Period <br />Date of <br />Last Da�yy for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Reg <br />of Assessment <br />— (a) <br />(b) <br />(c) <br />(d) <br />e) <br />(f) <br />941 <br />06/30/2002 <br />47- 0727144 <br />121116/20C2 <br />01f15/2013 <br />452.33 <br />941 <br />09/30/2002 <br />47- 0727144 <br />12/30/20C2 <br />01/29/2013 <br />11000.17 <br />941 <br />12/31/2002 <br />47- 0727144 <br />i <br />07/28/2003 <br />08/27/201-3 <br />19053.55 <br />°face of Filing <br />Register of Deeds <br />Hall POBOX 1592 Total <br />$ 30506.05 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 17t' -1 day of October <br />2003 <br />ST PAUL, MNr <br />on �nis, <br />Sigratwe 3� ,, Ti le <br />� <br />, RSVEh -UE OFFICER. 29- 10 -23 -9 <br />for 'KAY PON (308) 384 -5667 <br />(NOTE: Cer-ific:ate of officer authorized oy law to take acknowledgment is not essartial to tree valldi *y of Notica of Federal Tax lien <br />ev. RUI. 71-466,1971 - 2 C.B. 409; Form 665(Y)(e) (Rev. 10 -00; <br />