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200807256
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8/21/2008 4:20:16 PM
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8/21/2008 4:15:59 PM
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200807256
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<br />08/21/2008 THU 14:55 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121003/003 <br /> <br />~ <br /> <br />4653 <br /> <br />Form 668 (Y)(C) <br />(Rev. February 2004) <br /> <br />Department of the Treasury 7 Internal Revenue Service <br />Notice of Federal Tax Lien 2 0 0 8 0 7 2 5 6 <br /> <br />Area: Serial Number For Optional Use by Recording Office <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 829-3903 463493308 <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 penaldes) <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 ail property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penal,ties, interest, and costs that may accrue. <br /> <br />Name of Taxpayer KIDZ CLUB INC , a Corporatlon <br /> <br /> <br />Residence <br /> <br />1721 S ARTHUR ST # 5 <br />GRAND ISLAND, NE 68803-6320 <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 IRe 6325(a). <br /> <br /> Tax Period Date of Last Dr.r. for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refilng of Assessment <br />a (b (e) (d) (e) (f) <br />941 09/30/2006 48-1293229 12/18/2006 01/17/2017 470.40 <br />941 12/31/2006 48-1293229 08/13/2007 09/12/2017 1755.27 <br />941 03/31/2007 48-1293229 09/03/2007 10/03/2017 387.55 <br />941 06/30/2007 48-1293229 12/17/2007 01/16/2018 699.71 <br />941 12/31/2007 48-1293229 04/07/2008 05/07/2018 3291.82 <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 />6604.75 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />12th dayof August <br /> <br />2008 <br /> <br />Signa.ture <br /> <br /> <br />Title <br />ACS <br />(800) 829-3903 <br /> <br />24-00-0008 <br /> <br />for MICHAEL W. COX <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien r.,{\ <br />Rev. Rul. 71-466, 1971 ~ 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004) \' <br />Parc: l . Kepc By Recording Office CAT. NO 60025X <br />
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