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02/08/2005 15:51 FAX 14024714429 <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />NEBRASKA UCC <br />1872 S <br />Department of the Treasury - Internal Revenue e,vlce <br />Notice of Federal Tax Lien <br />Area: Serial Number For Options <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 210750605 <br />Lien Unit Phone: (651) 312 -8080 <br />As provided section by se 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 DHS BUILDERS INCORPORATED , a Corporat on <br />Residence 1004 DIERS AVE STE 300 <br />GRAND ISLAND, NE 68803 -4962 <br />IA 002/003 <br />I Use by Recording attice <br />No Soe of sla4a - U[[ FTL <br />9905377791 -6 Pear 1 <br />DHS BUILDERS INCORPORATED A C <br />Filed: 02106/2006 10:24 AM <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column le), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />Tax Period Date of Last Day for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refsiing of Assessment <br />(a) (b) (c) (d) e) (f) <br />941 03/31/2004 47- 0845272 11/01/2004 12/01/2014 21412.47 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 25th day of January <br />2005 <br />ST PAUL, MN <br />Total 1$ 21412.47 <br />on this, <br />f <br />Signature l' Title <br />REVENUE OFFICER 2.9 -10 -2337 <br />for MICHAEL W PONTE L (308) 384 -6668 <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. Rul. 71-466,1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2 -2004) <br />o-- ii _ V[ t Rv Recordine Office CAT. NO 60025X <br />