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<br />02/19/2009 THU 15:18 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121004/005 <br /> <br />odes <br /> <br />Form 668 (Y)(C) <br />(Rev. FebruarV 2004) <br /> <br />8801 <br /> <br />Department of the Treasury - Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 514512409 <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 followinlt'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 rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may acc.rue. <br /> <br />Name of Taxpayer J G AND J INC , a Corporat~on <br /> <br />For Optional Use by Recording Office <br /> <br /> <br /> <br />~ I~Ir". ,_. .... -"~ ~. <br />-_UW 1i1t I " ,~ 11 <br /> <br />J G AND J INC Pgs: 1 <br />Filed: 02/'9/200~ ~g~~?R~ION <br /> <br />200901237 <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 retiled 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 />941 <br /> <br />Tax Period <br />Ending <br />(b) <br />06/30/2008 <br />09/30/2008 <br /> <br />Identifying Number <br />(c) <br />47-0756101 <br />47-0756101 <br /> <br />Date of <br />Assessment <br />(d) <br />12/22/2008 <br />01/05/2009 <br /> <br />Last Day for <br />Retiling <br />ee) <br />01/21/2019 <br />02/04/2019 <br /> <br />Un~aid Balance <br />of Assessment <br />(0 <br />9615.42 <br />8628.98 <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 />18244.40 <br /> <br />This notice was prepared and signe~ at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />04 th day of February <br /> <br />2009 <br /> <br />for WILMA K PONTE <br /> <br /> <br />Title <br />REVENUE OFFICER <br />(308) 384-4850 <br /> <br />24-10-1739 <br /> <br />Signature <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. 2-2004) \J..- <br />Part 1 ." .K..nt Bv R<<nrdin" om,... _ . _ .. _ _ _ _ _ __ . <br />