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<br />11/13/2008 THU 15:11 <br />VV <br /> <br />D Form 668 (Y)(c) <br />(Rev. Februarv 20041 <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br />tHWl <br /> <br />~002/002 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien . 200 8 0 9 4 5 9 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />lien Unit Phone: (800) 913-6050 491127808 <br /> <br />As provided by section 632', 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 liabiiity, 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 mayaccrue. <br /> <br />Name of Taxpayer J G AND J INC I a Corporation <br /> <br />For Optional Use by Recording Office <br /> <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 cenificate of release as defined <br />in IRe 6325(8). <br /> <br />Kind of Tax <br />(a <br />941 <br /> <br />Tax Period <br />Ending <br />(b <br />03/31/2008 <br /> <br />Identifying Number <br />(c) <br />47-0756101 <br /> <br />Date of <br />Assessment <br />(d) <br />06/16/2008 <br /> <br />Last Day for <br />Retiling <br />(e) <br />07/16/2018 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />9219.07 <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 />9219.07 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />03rd day of November <br /> <br />2008 <br /> <br />Signature <br /> <br />Title <br />REVENUE OFFICER <br />for WILMA K PONTE (308) 384-4850 <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. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-20041 <br />Pan 1 - Kept By RecordlDI Office CAT. NO 60025X <br /> <br /> <br />24-10-1739 <br /> <br />v <br />