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200810053
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12/9/2008 4:21:45 PM
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12/9/2008 4:19:54 PM
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DEEDS
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200810053
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<br />12/09/2008 TUE 15:42 <br /> <br />db <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1210031003 <br /> <br />8801 <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 Lien <br /> <br />200810053 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone-: (SOD) 913-6050 497526108 <br /> <br />As provided by section 632 f, 6322, and 6323 of the Internal Revenue <br />Code, we are livin. 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 richu 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 BLUE WATER TECHNOLOGIES INC , a Corpor <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />FTL <br /> <br />; <br />~ . <br /> <br />9908578489-4 Pss: 1 <br />BLUE WATER TECHNOLOGIES INC , <br />Filed: 12/09/200B 02:46 PM <br /> <br />tion <br /> <br />Residence - <br /> <br />309 PONDERQSA DR <br />GRAND ISLAND, NE 68803-9648 <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 />Kind of Tax <br />(a) <br />941 <br /> <br />Tax Period <br />Ending <br />(b) <br />09/30/2007 <br /> <br />Identifying Number <br />(c) <br />20-5697643 <br /> <br />Date of <br />Assessment <br />(d) <br />08/04/2008 <br /> <br />Last DaJ for <br />Reflllng <br />(e) <br />09/03/2018 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />7206.10 <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 />7206.10 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />26th day of November <br /> <br />2008 <br /> <br />the <br /> <br />Signature <br /> <br /> <br />24-10-1720 <br /> <br />Title <br />REVENUE OFFICER <br />for DANIELL (402) 437-5462 x2912 <br /> <br />(NOTE: Certificate of officer authorized bv law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien ~ <br />Rev. Aul. 71-4;66,1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004 <br />. Part 1 . Kept By Recording OffIce CAT. NO 60025X . <br />
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