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12'24 %2003 09:43 FAX 14024714429 NEBRASKA LICC <br />Department of the Treasury - Internai Revenue Service <br />Foray 668 (y)(c) <br />{RSL. Dcrme -' 20co) I Notice of Federal Tax Lien <br />Area; Serial Number <br />3I41A'_%, SJ2 iNESS /SELF EMPLOYE:: AREA j#9 <br />Lien Unit Fhona:'651) 312 -8000 14655CJ.03 <br />As provided by section 632f, 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 O TOS S —;Ar CE INC a Corporation <br />Pesidence 1412 S ADA ST <br />GRAND 1 S LAND , NE 68803 <br />11 <br />6" 400 <br />For Optional Use by Recerdinq Otice <br />0 <br />F <br />200310:44 q�rI <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiied by the date given in column le), his notice snail, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(x). <br />Kind of Tax <br />Tax Period <br />Ending <br />Identifying Number <br />Date of <br />Assessment <br />Last Dayy for <br />Refilinf <br />Unpaid Balance <br />of Assessment <br />(a) <br />(b) <br />c <br />(d) <br />(e) <br />(f) <br />9�t1 <br />09/30/2002 <br />47- 0605244 <br />04/21/2003 <br />05/21/2013 <br />1674.68 - <br />9a1 <br />12/31/2002 <br />47- 0605244 <br />02;24/201')3 <br />03/26;/2013 <br />911 <br />12/31/2002 <br />47- 0605244 <br />08/11/2003 <br />09/10/2013 <br />19962.95 <br />941 <br />03/31/20103 <br />47- 060S244 <br />06/30/20013 <br />07/30/2013 <br />2504,43 <br />941 <br />1 06/3'01/2003 <br />47- 0605244 <br />_0,76/2003 <br />11/05/2013 <br />6314 - 68 <br />Place of Filing <br />Register of Deeds <br />r21 -PODOX 1692 Tatal $ 30456.75 <br />Grand Island, NTE 65802 --1692 <br />This notice was prepared and signed !�t <br />the 7th day of Dec;Qr',�e- r 2003 <br />ST PAUL, PMT <br />, on this, <br />gnatur Title <br />REVEINLTE CEF'It_ER. 29 -10 -2341 <br />f P AT (308) 384 -66E2 <br />(NOTE: Certificate of cfficer authurizad !7v !avv to take ackncwledgrnent is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466,1971 - 2 C.3. 409i Fcrm 668(Y)(e) (Rev. -C-00! <br />Part 1 - Kept By Recording Office r „r <br />