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06/01/2010 TUE 14:42 FAX 402 471 4429 ^CC SECRETARY OF STATF~ ~~~ Ha11 <br /> <br />Forn>t bb8 (Y)(c) <br />(Rev. February 2004) <br />Department of the Treasury -Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA, #4 <br />Lien Unit Phpne: (800) 913-6050 658341610 <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 coats that may accrue. <br />ame of Taxpayer <br />For Optional Use by Recording Office <br />ALDA GRILL & GROCERY <br />Residence 106 E FRONT ST <br />ALDA, NE 68810-9733 <br />NE Sic aP $iat^ Jahn p Gals - I1CC FTL <br />990628884-8 pas. t <br />MACKU Dppl& <br />Filed; 06/0112010 01:17 PM <br />~00~/004 <br />IMPORTANT Rlia,i~A,Sii INFORMATION: For ®ach assessment listed bellow, <br />unless notice of the lien is refiled by the date given in column Isl, this notice shall, <br />an the day fol{owing such date, operate as a certificate of release as defined <br />in 1RC 6325(a). <br />Tax Period Date of last Dayy for <br />Kind of Tax Ending Identifying Number Assessment Refiling <br />a b) (c) (d) (e) <br />947. 03/31/2009 47-0824016 02/01/2010 03/02/2020 <br />PIaCe of Filing <br />Rega.ster of Deeds <br />Hall POBOX 7.692 <br />Grand Island, NE 68802-1692 <br />1778.91 <br />Total ~ $ 17 7 8 , 91 <br />This notice was prepared and signed at <br />the 20t~h day of May <br />CHICAGO, 7:L <br />2010 <br />on this, <br />Signature ~ A ~~y~ --- Title <br />REVENUE OFFICER 24-10-1720 <br />for DANIELLE L MUELLER (402) 473-4675 x2912 <br />201003793 <br />unpaid Balance <br />of Assessment <br />~.w~ c: ~,eruncaie or omcer aumonzea oy law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466, 7971 - 2 C.e. 409) Farm fi68(Y)(c) (Rev, 2-20041 <br />Part I -Kept 8y Recording Office CAT. Np 60025X <br />