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011/05/2009 THU 14:42 8AR 402 471 4429 UCC SECRETARY pl'' S~'ATE yyy Hall <br />r\`t I <br />Department of the Treasury -Internal Revenue Service 2 ~ O n ~ 8 8 5 V <br />Notice of Federal Tax Lien i7 <br />U" ~ 3592 <br />Form 668 (Y)(c) <br />(Rev. February 20041 <br />Area: Serial Number For Optional Use b Recording Office <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit F'hone: (800) 91.3-6050 593793109 <br />AS provided by section d3Z1, 6322, and 6323 Of the internal Revenue <br /> <br />Cade, we are giving a notice that taxes (including interest and penalties) N~ s~ e{ 5l~l~ John A 6.Ir - YCC FTL <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 Ilan in favor aF the united States on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional enakies, interest, and costs that may accrue. <br />p gse9B314a®-s P9a; , <br />J 6 AND J INC, A CORPORATION <br />F11 <br />d <br />11/05 <br /> <br />Name of Taxpayer J G AND J INC, a Corporation ; <br />8 <br />/2009 01:46 PM <br />Residence 2118 N WEBB RD <br />GRAND ISLAND, NE 68803-1.737 <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 following such date, pperate as a certificate of release as defined <br />in IRC 6325(a1. <br /> Tax Period Date of i,ast Dayy for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refiling of Assessment <br />(a) (b) (c) d e <br />941 03/31/2009 47-0756101 1o/12/zoos 11/11/2019 zz28.5o <br />941 06/30/2009 47-0756101 10/12/2009 11/.11/2019 1353.70 <br />Place of Filing <br />Register of Deeds <br />Hall FOBOX 1692 Total $ 3582.20 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at <br />the 27th day of October 2009 <br />Signature <br />Title <br />REVENUE OFFICER <br />(308j 384-4850 <br />24-10-1739 <br />(NOTE: Gertificate of officer authorized by law to take acknowledgment is opt essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 G.B. 409) Farm 668(Y')(c) (Rev. 2-2004) <br />Par[ 1 - Kep[ KY Recording O(fite GAY. NO 60025X <br />CHICAGO, IL <br />~p02/OD3 <br />on this, <br />