<br />04/15/2009 WED 12:25 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall
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<br />Department of the Treasury - Internal Revenue Service
<br />Notice of Federal lax: Lien
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<br />200902827
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<br />Form 668 (Y)( c)
<br />,.. (Rev. February 20041
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<br />Area: Serial Number
<br />SMALL BUSINESS/SELF EMPLOYED AREA #4
<br />Lien Unit Phone: (800) 913-6050 533169209
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<br />k provided by section 632l, 6322, and 6323 of the Intemal Revenue
<br />Code, we are givin, a notice that taxes (includin, interese and penalties)
<br />have been assessed arainse the followin,-named taxpayer. W. have made
<br />a demand for payment of this liabmty, bue ie remains unpaid. Therefore,
<br />there Is a Den in favor of the United Staees on all property and lipts to
<br />property belonain, to this taxpayer for the amount of these taxes, aDd
<br />additional penalties, interest, and costs that may accrue.
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<br />NameofT~payerHOSKER HOSPITALITY L L C , a partnersh p
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<br />For Optional Use bv Racording Office
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<br />H1llnrlrflll
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<br />9909593576-0 pgs: 1
<br />HUSKER HOSPITALITY L L C , A P
<br />Fil.d: 0411612009 11:01 A"
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<br />Residence
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<br />423 PONDEROSA DR
<br />GRAND ISLAND, NE 68803-9653
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<br />IMPORTANT, RELEASJ.I}lFORMATlON: For each assessment listed below, ,
<br />,. .uf'!le~'s::.ri,9.~,~~o,'t."~)!I~.Q:.~.Xffil~~ ~.(t~f! date. given in ~olumn (e). this notice sh$.II.. .',
<br />. on"1h~.'i:Iay. f(jJIQ~lng 'sl,Ich ,date. operate as 8 certificate of release as defined
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<br /> ".'" '...... ,...".,...... " Date of' Las~'for Un,.id lalinee
<br /> Kind of Taic:, !:EncUn,., Identffyln. Number Assessment n.. ,,' '. .. .' of Assessment
<br /> (a) (b) (c) Cd) ( )'~'''':' , '11 .... "'m
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<br /> 9i1 'f2/3'i/~'008 '82':'0567019 03./23/2009 04122/2019 7511.44
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<br />Place'ofFiI!rS :."
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<br />,':'Re,gisttir "of Deeds
<br />i.... . ;Hall., POBOX .1692
<br />G~and Island, ME 68802-1692
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<br />This notice was pr~pared: arid signed at .
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<br />CHICAGO I IL
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<br />, on this,
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<br />07th day of . April
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<br />2009 .
<br />
<br />the'
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<br />Signature
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<br />Title
<br />REVENUE OFFICER
<br />for' ERIC ~TIN (402) 437-5462
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<br />(NOTE: ~8rtiflcate of officer authorized by law to take acknowledgment is not essential to the validity of Noti~e of Federal Tax lien ~
<br />Rev. Rul. 71-466, 1971 .2 C.B. 4091 Form 66800(c) (Rev. 2-2004) .
<br />, Part 1 . Kept By Recordln, Offtce ..' . ;' CAT. NO 60025X :
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<br />24'-10-1721
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