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<br />10/24/2007 WED 14:34 <br /> <br />~ <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1dI0 0 2/ 0 0 2 <br /> <br />1924 <br /> <br />Form 668 (Y)(c) <br />(Rev. February 20041 <br /> <br />Department of the Treasury. Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />200709135 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Uen Unit Phone: (800) 91~-6050 397682707 <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 WILLIS SHOE AND BOOT INC , a. Corporati n <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />~TL <br /> <br />9907530917-5 pgs: 1 <br />WILLIS SHOE AND BOOT INC , A C <br />Filed: 10/24/2007 11:30 RM <br /> <br />~esidence <br /> <br />379 N WALNUT ST <br />GRAND ISLAND, NE 68801-4513 <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 63251al. <br /> <br /> Tax Period Date of Last Day for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment . Refiling . of Assessment <br />a _____(bl _..__u(d_m__ _......._(cl)___. ...u_(~ (f_ <br />940 12/31/2006 47-0821358 05/07/2007 06/06/2017 261.33 <br />941 12/31/2005 47-0821358 04/03/2006 05/03/2016 288.21 <br />941 . 06/30/2006 47-0821358 10/09/2006 .11/08/2016 361. 09 <br />941 09/30/2006 47-0821358 01/08/2007 02/0;7/2017 5097.88 <br />941 12/31/2006 47-0821358 04/02/2007 05/02/2017 5230.77 <br />941 03'/31/2007 47-0821358 06/25/2007 07/25/2017 5267.96 <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 />16507.24 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />15th day of October <br /> <br />2007 <br /> <br />the <br /> <br />Signature <br /> <br /> <br />Title <br />REVENUE OFFICER <br />(308) 384-4850 <br /> <br />24-10-2341 <br /> <br />for' PAT KELLOGG <br /> <br />(HOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien cf <br />Rev. Ru!. 71466,1971 - 2 C.B. 409) . Form 668(Y)(c) (Rev. 2-2004) <br />Pan t . Kept By Recording Office CAT. NO 60025X . . <br />