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05/25/2010 TUE 15:14 FAX 402 471 4429 UCC SECRETARY OF STATE yyy Hall <br />~~ 3 <br />i'orm bb8 (Y)(c) <br />(R®v. February 2004) <br />FOr NC" See of si~~4 John~R aelpff'CB <br />-- -UCC FTC <br />9910628271_9 <br />Fileds 85~25A2g70Djy:09C MQ CDR <br />Hrea: Serial Number <br />sMALI~ suszz~r8ss/sEZ~r~ >~z,o~rrsn AFtF.~, #~ <br />Lien Unit Phone: (800) 829-3903 655931510 <br />As provided by section b32 t1, b322, 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 far 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 WILLIE SHOE AND SOOT INC <br />a Corporation <br />Residence 379 N WALNUT ST <br />GRAND ISLAND, NE 68801-4513 <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, operate as a certificate of release as defined <br />in IRC 6325(a1. <br />Tax Period Date of last Dayy for <br />Kind of Tax Ending Identifying Number Assessment Refiling <br />941 06/30/2009 47-0821358 09/28/2009 10/28/2019 <br />941. 09/0/2009 47-os2135s 12/28/2009 01/27/2020 <br />Place of Filing <br />Register of Deeds <br />Hall POSOx 1692 <br />Grand Island, NE 68802-1,692 <br />Ia1002/007 <br />Unpaid Balance <br />of Assessment <br />2491.25 <br />4722.9a <br />Total I $ 7214 .15 <br />This notice was prepared and signed at <br />the 13th day of May <br />Signature <br />for MICHAEL W <br />201Q <br />CHICAGO, IL <br />on this, <br />COX <br />ACS <br />(800) 829-3903 <br />24-00-0008 <br />(NOTE: Certificate of officer authorized by law tD take acknowledgment is not essential to the validity Df Notice of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) <br />Part 1 -Kept sy Recording OfBte Form 668(lt~(t) (Rev. 2-2004) <br />CAT. NO 60025X l <br />1~ <br />Department of the Treasury -Internal Revenue Service <br />Notice Of Fedelral Tax Lien 2 010 0 3 5 9 8 <br />