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<br />12/13/2005 17:22 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />~ 003/003 <br /> <br />\)~ <br /> <br />200512207 <br /> <br />1872 <br /> <br />Department of the Treasury~, Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />Form 668 (y)(c) <br />IRev. February 2004) <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (800) 913-6050 .262265305 <br /> <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 /> <br />Name of Taxpayer J G AND J INC , a Corporation <br /> <br />For 'Optional Use by Recording Office <br /> <br />11III111111 <br /> <br />990S426731tclS A CORPORATION <br />~1~.~1~/12/200S 04:46 PM <br /> <br />Residence <br /> <br />3235 S LOCUST ST . <br />,GRAND ISLAND, NE '68801-8816 <br /> <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(a). <br /> <br />Kind of Tax <br />(a) <br />940 <br />941 <br />941 <br />941. <br />,941 <br />941 <br />941 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2004 <br />03/31/2004 <br />06/30/2004 <br />09/30/2004 <br />12/31/2004 <br />03/31/2005 <br />06/30/2005 <br /> <br />Identifying Number <br />(c) <br />47-0756101 <br />47-0756101 <br />47-0756101 <br />47-0'756101 <br />47-0756101. <br />47-0756101 <br />47-0756101 <br /> <br />Date of <br />Assessment <br />(d) <br />09/05/2005 <br />08/29/2005 <br />08/29/2005 <br />08/29/2005 <br />08/29/2005 <br />10/03/2005 <br />09/19/2005 <br /> <br />Last Day for' <br />Refiling <br />(e) <br />10/05/2015 <br />09/2.8/2015 <br />'09/28/2015 <br />09/28/2015 <br />09/28/20'15 <br />11/02/2015 <br />10/19/2015 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />891.14 <br />1087.78 <br />3014.74 <br />6078.66 <br />4484.79 <br />9056.06 <br />571. 81. <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />25184.98 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN" <br /> <br />, on this, <br /> <br />the <br /> <br />02nd day of December <br /> <br />2005 <br /> <br />Signature n / ./. Title <br />'A<JtVJ u- n~, REVENUE OFFICER 29-10-2339 <br />for KAY PONTE ,(308) 384-4850. <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is. not essential to me validity of Notice of Federal'Tax lien <br />Rev. Ru!. 71-466, 1971 - 2 C.B. 409) , Form 66B(Y)(c) [Rev. 2-2004) n. r <br />Part 1 ~ KeDt By Recording'Office CAT. NO 60025X \J \ <br />