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<br />03/02/2009 MON 11:48 FAX 402 471 4429 UCC SECRETARY OF STATE 444 Hall <br /> <br />121004/006 <br /> <br />[)ro <br /> <br />8801 <br /> <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br /> <br />Department of the Treasury w Internal Revenue Service <br />Notice of Federal Tax Lien 20090 15 38 <br /> <br />. <br /> <br />Area: Serial Number . <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 518309409 <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 rights 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 WILLIS SHOE AND BOOT INC , a CorporatJ. m <br /> <br />For Optional Use by Recording Office <br /> <br />\I\I'\\\'\'\"\\~' <br /> <br />9909588451-9 INC A C <br />~II;~~ ~~~~2~~g0~O~~:25 AM <br /> <br />Residence <br /> <br />379 N WALNUT ST <br />GRAND ISLAND, NE 68801-4513 <br /> <br />.IMPORTANT RELEASE, INFORMATION: For each assessment listed below., . <br />unless notice of the lien is refiled by the date given in column Ie}, this notice shall, <br />on the day following such date, operate as a' certificate of release ;:IS defined <br />in IRe 6325(a). <br /> <br /> Tax Period Date of Last Daa;, for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refl 8' of Assessment <br />(a) (b) (c) (d) (e) (f) . <br />941 03/31/2008 . 47-0821358 06/16/2008 07/16/2018 2347.90 <br />'941 06/30/2008 47-0821358 09/29/2008 10/29/2018 5651.66 <br />941 09/30/2008 47-0821358 01/05/2009 02/04/2019 361L B1 <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 />11611.37 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />18th day of February <br /> <br />2009 <br /> <br />the <br /> <br />Signature <br /> <br /> <br />Title <br />REVENUE OFFICER <br />(308) 384-4850 <br /> <br />24-10-1744 <br /> <br />for PATRICK J KELLOGG <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. Ru!' 71-466,1971 - 2 C.B. 409) - Form 668(Y)(c) (Rev. 2~20041!l\.J <br />Part 1 . Kept By Recording Office CA T. NO 60025X \,j <br />