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<br />02/06/2009 FRI 14:57 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121003/003 <br /> <br />~ Fonn 668 (Y)(C) <br />(Rev. February 20041 <br /> <br />4899 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200900844 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 510842209 <br /> <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interese 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 aU property and rights to <br />property. belonging to this taxpayer for the amount of these taxes, and <br />additional penalties; interest, and costs that may acerue. <br /> <br />Name of Taxpayer KIDZ CLUB INC , a CorporatJ.on <br /> <br />For Optional Use by Recording Office <br /> <br /> <br />9909586211-9 Pgs: 1 <br />KIDZ CLUB INC , R CORPORAATION <br />Filed: 02/06/2009 11:21 RM <br /> <br />Residence <br /> <br />1721 S ARTHUR ST <br />GRAND BLAND, 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 IRC 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 />48-1293229 <br /> <br />Date of <br />Assessment <br />d <br />12/01/2008 <br /> <br />Last Day for <br />Refiling <br />e) <br />12/31/2018 <br /> <br />Unpaid Balance <br />of Assessment <br />f) <br />1251.79 <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 />1251.79 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />23rd day of January <br /> <br />2009 <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 /> <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-20041 <br />Pare 1 - KeDt By Recordlnsr Office _ . __. __ _ u_u <br /> <br />V" <br />