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09/29/2009 TUB 15:04 FAX 402 471 4429 UCC SECRETARX OF STATE ~~~ Hall <br />~~ 36$2 <br />Form b613 (Y)(c) <br />(Rev. February 2004) <br />pepartment of the Treasury -Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYFA AREA #4 <br />Lien Unit Phone: (800) 913-6050 582805209 <br />As provided by section 6321, b322; and b323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the following-named taxpayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there is a lien in favor of the United States on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br />Taxpayer BR <br />_._.~.~8§i ems- ..-. <br />~-. .+ + +..r w.~va-.c u~a~ aw <br />GRAND ISLAND, NS 68801-7904 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (e), this notice shall, <br />on the day fallowing such data, operate as a certificate of release as defined <br />in IRC 6325(a). <br />FOr ~ NE Sec wF s~at^ dwhn A Gal^ UC[ FT4 <br />9909608248-3 Pea: 1 <br />BITTER BRIAN W <br />Filed: 09/29/2008 pg;gg AM <br /> <br />Tax Period Date of Last Dayy for <br />Kind of Tax Ending Identifying Number Assessment Refiling <br />(a) (b) c (d) e) <br />x.040 12/31/2002 XXX-XX-5459 07/31/2006 08/30/2016 <br />1040 12/31/2003 XXX-XX-5459 07/3]./2006 0$/30/2016 <br />Plaae of Filing <br />6309.97 <br />5370.46 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total ~$ 11680.43 <br />This notice was prepared and signed at <br />CHICAGO, IL <br />the 17th day of September 2009 <br />on this, <br />Signature ~ f7 ~~~ Title <br />REVENUE OFFICER 24-10-1739 <br />far KAY PONTE (308) 384-4850 <br />(NOTE: Certificate of officer authorized by law to take ecknawtedgment is not essential tp the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form bbl3(lf7([) (Rev. 2.2004) <br />Part ! -Kept gy Recording Offi[e CAT. NO s0025X ~~/ <br />~Op4/OOS <br />Unpaid Balance <br />of Assessment <br />