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09/07/2010 TUB 13:06 FAR 402 471 4429 UCC SECRETARY OF STATE ~a~ Hd11 <br />~~ 3592 <br />Department of the Treasury -Internal Revenue Service <br />Form bb8 (Y)(r) <br />(Rev. February 20oa) Notice of Federal Tax Lien <br />Area: Serial Number For pptional Use by Recording Office <br />SMALL BUSYNESS/SBLF EMPLQYBII AREA #4 <br />Lien Unit Phone: (800) 829-3903 69370107.0 <br />AS provided by section 6321, 6322, and 6323 of the Internal Revenue TL <br />Cade, we are giving a notice that taxes (including interest and penalties) NE Sac o/ Skek. ,ehn A 6ele - I1CC F <br />have been assessed against the faliawing-named taxpayer. We have made <br />a demand far payment of this liability, but it remains unpaid. Therefore, <br />there is a iien in favor of the United States on all property and rights to <br />e taxes and <br />~ <br />n <br />t <br /> <br />add tio <br />al pena(t es, <br />interest~ and costs that may accrue ~~ Pem: 1 <br />a93ee3esis-i <br />TNC <br />7 <br />Sp <br /> FLDWtl5 <br />M <br />9/07l2010 08H61 <br />Name of Taxpayer MIDWEST MUFFLER & EXHAUST INC 0 <br />~ JOEL B SHAPER <br />Residence 113 s s LOCUST ST 2 b 10 0 6 4 0 8 <br />GRAND ISLAND, NF 68601-6'771 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is raffled by the data given in column (el, this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 63251a). <br /> Tax Period Date of Last Dayy for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Raffling of Asse:sment <br />a b c) (d) e) <br />941 12/31/2009 75-2973].07 02/22/2010 03/23/202q 9169.82 <br /> ~. <br />Place of Filing <br />Register of Deeds <br />Ha1.1 POBOX 7.692 <br />Grand Island, NE 68802-1692 <br />Total I$ 9169.82 <br />This notice was prepared and signed at <br />CHICAGO, IL <br />on this, <br />the 27th day of August 2010 <br />Signature A Title <br />ACS 24-00-0008 <br />for MICHAEL W. COX (800} 829--3903 <br />~DD3/004' <br />Rev, Aul. 71-~i6fi, 1971 _ 2 C.B. 409) Form bb8(Y)(c) IRev. 2-20 4) r1 <br />Part 1 -Kept 1>;y Recording Office CAT. NQ 80025 '• <br />