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<br />10/03/2006 16:36 FAX 14024714429 <br /> <br />NEBRASKA uee <br /> <br />200608912 <br /> <br />Igj 006/009 <br /> <br />, <br /> <br />Form 668 (Y)(C) <br />(Rev. February 2004) <br /> <br />1075 <br /> <br />Department of the Treasury - Internal Revenue Service <br />, Nodce Of Federal Tax Lien <br /> <br />Area: Serial Number For 0 tional Use by Recording Office <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 318209906 <br /> <br />As provided by section 6321, 6l22"and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed aRainst the follo~nlf"named taxpayer. We have made <br />a demand for payment of this liabili~, but It remains unpaid. Therefore, <br />there is a lien in favor of the UnJted 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 TOTAL SERVICES INC 12-27-94 , a Corpor tion <br /> <br /> <br />Residence <br /> <br />511 E CAPITAL ,AVE <br />GRAND ISLAND, 'NE 68801-2413 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice 01 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 IRe 6325(a). <br /> <br />Kind of Tax <br />.a <br />941 <br /> <br />Tax Period <br />Ending <br />(b <br />12/31/2005 <br /> <br />IdentlfyioR Number <br />:e <br />47-0784222 <br /> <br />Date of <br />Assessment <br />d) <br />07/10/2006 <br /> <br />Last Day for <br />Refiling <br />(e> <br />08/09/2016' <br /> <br />Unpaid Balance <br />of Assessment <br />f) <br />890.60 <br /> <br />Place of Filing <br /> <br />Register of;Deeds <br />Hal,l POBOX ~692 . <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />890.60 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL I MN" <br /> <br />I' on this, <br /> <br />the <br /> <br />21st day of <br /> <br />September 2006 <br />, <br /> <br />Signature <br /> <br />Title . <br />REVENUE OFFICER <br />for MICHAEL W PONTE (308) 384-4850 <br /> <br />(NOTE: Certificate of officer authorized ~y law to take acknowledgment is not essent!!' to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466, 1.971 - 2 C.B. 4091 : Form 668(Y)(c) (Rev. 2-2004) <br />Part t . KeItt Bv Recording OftIce rLlT II.In AM?I;)( <br /> <br /> <br />24-10-2337 <br /> <br />~Q <br />