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<br />11/06/2007 TUE 15:28 <br /> <br />Db <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~005/005 <br /> <br />1924 <br /> <br />Form 668 (Y)(c) <br />(Rev. February. 2004) <br /> <br />Department of the Treasury - Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />200709519 <br /> <br />Area: Serial Number For Optional Use by Recording Office <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />lien Unit Phone: (800) 913-6050 400733107 <br /> <br />As provided by section 6321, 6]22, and 6]2] of the Internal Revenue <br />Code, we are giving a notke that taxes (induding 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, arid <br />additional penalties, interest, and costs that may accrue. <br /> <br />Name of Taxpayer OTTOS SERVICE: INC , a Corporation <br /> <br /> <br />Residence <br /> <br />1418 ADA ST <br />GRAND ISLAND, NE 68803-6169 <br /> <br />,IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refjled 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 632.5(a). <br /> <br />Kind of Tax <br />a <br />941 <br /> <br />Tax Period <br />Ending <br />b <br />03/31/2007 <br /> <br />Identifying Number <br />(c) <br />47-0605244 <br /> <br />Date of <br />Assessment <br />(d) <br />08/20/2007 <br /> <br />Last ~a'y for <br />Refilin, <br />e <br />09/19/2017 <br /> <br />Unpaid Balance <br />of Assessment <br />f) <br />12645.14 <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 />12645.14 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />26th 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 />24-10-2337 <br /> <br />for MICHAEL W PONTE <br /> <br />Part 1 a Kept By Recording Office <br /> <br />Form 648(Y)(c) tRev. 2-20041 <br />CAT. NO 60025X <br /> <br />~ <br /> <br />(NOTE: Certificate of officer authorized by law.to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rut. 71-466,1971 - 2 C.B. 4091 <br />