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<br />01/02/2009 FRI 15:29 <br /> <br />~C{) <br /> <br />Form 668 (Y)(c) <br />. (Rev. February 20041 <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121002/004 <br /> <br />8801 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax: Lien 20 0 9 0 0 0 19 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 502800308 <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 rlghU 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 KIDZ CLUB INC , a Corporat1on <br /> <br />For Optional Use by Recording Office <br /> <br />HE S.... Df' St"h .IDhn A (i"I.. . ute <br /> <br /> <br />9909581554-0 Pgs: 1 <br />KIDZ CLUB INC , A CORPORATION <br />Filed: 01/0212009 02;27 PM <br /> <br />" Residence <br /> <br />1721 S ARTHUR ST <br />GRAND SLAND, 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 />; <br />i <br />i <br /> <br />Kind of Tax <br />(a <br />941 <br />941 <br /> <br />Tax Period <br />Ending <br />(b) <br />03/31/2008 <br />06/30/2008 <br /> <br />Identifying Number <br />(c <br />48-1293229 <br />48-1293229 <br /> <br />Date of <br />Assessment <br />(d) <br />07/07/2008 <br />10/06/2008 <br /> <br />Last Day for <br />Refiling <br />e <br />08/06/2018 <br />11/05/2018 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />400.58 <br />367.92 <br /> <br />Place of Filing <br /> <br />'- <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />768.50 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />." <br /> <br />18th day of December <br /> <br />2008 <br /> <br />.I..-:.~: <br /> <br />the <br /> <br />Signature <br /> <br /> <br />Title <br />REVENUE OFFICER <br />(308) 384-4850" <br /> <br />24-10-1739 <br /> <br />for WILMA K PONTE <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. Rul. 71-466. 1971 - 2 C.B. 4091 .. Form 668(Y)(c) (Rev. 2-200 <br />Part t . Kept By Recordmr Office CAT. NO 60025X <br />