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<br />10/01/2008 WED 14:41 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121002/003 <br /> <br />~ <br /> <br />Form'668 (Y)(C) <br />(Rev. February 2004) <br /> <br />,8801 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Uen 20080 8 391 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Uen Unit Phone: (800) 913-6050 474661708 <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 rish" 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 UNITED VETERANS CLUB , a Corporation <br /> <br />For Optional Use by Recording Office <br /> <br />\III'II'I~~I <br /> <br />9908572228-6 Pes. 1 <br />UNITED VETERANS CLUB . A CORPO <br />Filed: 10{01/2008 10:47 AM <br /> <br />Residence <br /> <br />1914 W CAPITAL AVE <br />GRAND ISLAND, NE 68803-2116 <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 Da~ for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Reft ng of Assessment <br />(a) (b) (c) (d) (e) (0 <br />941 06/30/2007 47-0558390 06/30/2008 07/30/2018 2781.66 <br />941 09/30/2007 47-0558390 06/30/2008 07/30/2018 4299.45 <br />941 12/31/2007 47-0558390 06/30/2008 07/30/2018 3498.47 <br />941 03/31/2008 47-0558390 07/07/2008 08/06/2018' 1461.18 <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 />12040.76 <br /> <br />",0.. o. .o!~.i~'~~{j~i~tfV\1~~r:p~~Il~r.~~~,'~~-d.:,'~tQl1~:~.~t <br /> <br />___CHI.cAGf), ,I.~ <br /> <br />'"'' ......,.. .'..n..,..__..."..,..", 0 0 ",'on-this, <br /> <br />the 17th day of September, 2008 <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 />(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. . Kept By Recording Office CAT. NO 60025X \; <br />