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01/21/2005 12:42 FAX 14024714429 NEBRASKA UCC <br />1872 <br />Department of the Treasury - Internal Revenue Service <br />Form 668 MW Notice of Federal Tax Lien <br />(Rev. February 2004) <br />Area: Serial Number For <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 209076305 <br />Lien Unit Phone: (651) 312 -8080 <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 />Name of Taxpayer JJST -US KIDS CHILD CARE , a Partnershi <br />Residence 507 ROUSH LANE <br />GRAND ISLAND, NE 68801 <br />16003/003 <br />200500599 <br />Use by Recording Office <br />JUST –US K <br />Filed: 01 <br />Pus: I <br />CARE. A PAR <br />04:43 PM <br />NT RELEASE INFORMATION: For each assessment listed below, <br />of the lien is refiled by the date given in column (e), this notice shall, <br />following such date, operate as a certificate of release as defined <br />LIRC6325(a). <br />[in <br />Tax Period <br />Date of <br />Last Day for <br />unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />940 <br />12/31/1998 <br />91- 1824676 <br />08/16/2004 <br />09/15/2014 <br />886.83 <br />941 <br />03/31/1998 <br />91- 1824676 <br />08/16/2004 <br />09/15/2014 <br />8896.46 <br />941 <br />06/30/1998 <br />91- 1824676 <br />08/16/2004 <br />09/15/2014 <br />9791.97 <br />941 <br />09/30/1998 <br />91- 1824676 <br />08/16/2004 <br />09/15/2014 <br />9472.42 <br />941 <br />12/31/1998 <br />91- 1824676 <br />08/16/2004 <br />09/15/2014 <br />8494.53 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 37542.21 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 13th day of January _ 2005 <br />Signature <br />fnr xAV P <br />ST PAUL, MN <br />Title <br />REVENUE OFFICER <br />(308) 384 -6667 <br />on this <br />j; <br />=i <br />29 -10 -2339 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the vanoiry or ivuucn — I- --' I I —. <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668(y)(c) (Rev. 2 -2004) <br />D.... I - Want Rv rtsrnrdin¢ Office rnT Kin ann2Fx <br />