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<br />05/06/2008 TUE 14:22 <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br />1924 <br /> <br />121004/007 <br /> <br />\)J <br /> <br />Form 668 (Y)(c) <br />(Rev. FebruarV 20041 <br /> <br />Department of the Treasury - Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />200803903 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 440473508 <br /> <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are givln, 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 Corporat1on <br /> <br />For Optional Use by Recording Office <br /> <br />Ill! Sole ..r S..." J..nn R G"I.. - ucc nL <br /> <br /> <br />9908558731-5 PUll: 1 <br />J G AND J INC . A CORPORATION <br />Filed: 05/06/2008 10:29 AM <br /> <br />Residence <br /> <br />2118 N WEBB RD <br />GRAND ISLAND, NE 68803-1737 <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 />KJnd of Tax <br />(a <br />941 <br />941 <br />941 <br />941 <br />941 <br /> <br />Tax Period <br />Ending <br />(b) <br />06/30/2006 <br />03/31/2007 <br />06/30/2007 <br />09/30/2007 <br />12/31/2007 <br /> <br />Identifying Number <br />c) <br />47-0756101 <br />47-0756101 <br />47-0756101 <br />47-0756101 <br />47-0756101 <br /> <br />Date of <br />Assessment <br />(d) <br />11/20/2006 <br />10/08/2007 <br />12/03/2007 <br />12/31/2007 <br />03/24/2008 <br /> <br />Last D~ for <br />Relillng <br />(e) <br />12/20/2016 <br />11/07/2017 <br />01/02/2018 <br />01/30/2018 <br />04/23/2018 <br /> <br />Unpaid Balance <br />of Assessment <br />(0 <br />2174.39 <br />1597.86 <br />5000.22 <br />5377.75 <br />3842.64 <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 />17992.86 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />23rd day of April <br /> <br />2008 <br /> <br />for KAY <br /> <br /> <br />Title <br />REVENUE OFFICER <br />(308) 384-4850 <br /> <br />24-10-2339 <br /> <br />Signature <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. Ru!. 71-466,1971 "2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004) \, <br />Part 1 " Kepc By Recording Offic:e CAT. NO 60025X V <br />