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<br />02/04/2008 MON 15:43 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~007/010 <br /> <br />o <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 Uen <br /> <br />200800881 <br /> <br />Area: Serial Number ,For Optional Use by Recording Office <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />lien Unit Phone: (BOO) 913-6050 416925708 <br /> <br />A5 provided by section 632 t, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a nodce that taxes (fncludinglnterest and penalties). <br />have been assessed apinst the foUowing-named taxpayer. We have made <br />a demand for payment of this liability, but It remains unpaid. Therefore, <br />there Is alien in favor of the United States on aU 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 accl1Ie. <br /> <br />Name of Taxpayer OTTOS SERVICE INC , a Corporat1on <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 refiled by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release 8S defined <br />in IRC 6325(a). <br /> <br /> Tax Period Date of Last D~ for Un,ald Balance <br />Kind of Tax Endins 'Identifying Number Assessment Refi ng of Assessment <br />a b c (d e <br />6721 12/31/2004 47'-0605244 04/0~/2007 05/02/2017 <br />6721 12/31/2004 47-0605244 11/12/2007 ' 12/12/2017 1004.34 <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 />1004.34 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />23 rd day of January <br /> <br />2008 <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 />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validitv of Notice of Federal Tax lien <br />Rev. Rul. 71-466,1971 - 2 C;B. 409) Form 668(Y)(c)IRev. 2-2004) <br />Pan 1 . Kept By RecordInJ Office CAT. NO 60025X <br /> <br />\V <br />