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12/03/2Q10 FRI 13:48 FAx 402 471 4429 UCC 58CRETARY OF STAT$ ��� Hall <br />O � 3592 <br />Department of the Treasury - Internal Revenua Service <br />Form bb8 (Y)(c) Notice of Federal T� Lien 2 O 10 4 9 0 2 G <br />(fiev. February 200A) <br />Hrea: Serial Number <br />SMALL BUSINBSS/SELF F`sMPLOY�D AREA #4 <br />Lien Unit Phone: (8p0) 913-6050 722171p10 <br />As provided py section b321, 6322, and b3Z3 0� the Internal R�venue <br />Cvde, we are giving a notice that taxes (including interest and penaldes) <br />have been assessed against the following-named taxpayer. We have made <br />a demand for payment of' this liability, but it remains unpaid. Therefare, <br />there ts a lien in favor of the �nited States on ail property and rights to <br />property bela�nging to this ta�ayer for the amount of these taxes, ancl <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer <br />__ ... _ <br />Residence 6�4 S WEBB RD <br />GRAND ISLANA, NE 68803-5119 <br />IMPORTANT R$I.�ASE IN�ORMATI4N Far aach assessment listed below, <br />unless notice af the lien is refiled by the date given in column !e), this notice shall, <br />on the day follawing such date, operate as a certificate of release as deffned <br />in IRC 6325(a). <br />Uss by Recordin9 Office <br />- - ,• +en� a a.t - uec � <br />991 0844437-1 <br />TOOL,6qRN RENTAL5 INC P ��� 1 <br />Flled: 12/03/2010 09:03 Ai7 <br />Tax Period Date af 1,ast Day for <br />Kind of Tax Ending Identlfjring Number Assessment Refiling <br />6721 �i2/3�./2a0�� �7-0881364 �10/25/201p� 11/24/2020 <br />Place of Filing <br />Register of Deeds <br />Hall POHOX 1692 <br />Grand �sland, NE 68802-1692 <br />For <br />llnpaid Balance <br />of Assessment <br />3�459.08 <br />Total $ 3 9: 5 9. 0 8 <br />This notice was prepared and signed at CHTCAGO, IL <br />1.7th November 2�1a <br />the day ot _ _ _ _ . . • <br />, on this, <br />Signature Title <br />��` REVENUE OFFICER 24-10-1720 � <br />�or DANIELLE L MUELL (402) 473-4675 x2912 � <br />(NOTE: Cartificate of officer authorizad by law to take acknowledgment is not sssential to the validity of Notice of Fadersl Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 4Q9) Form 668(ln(c) IRev. 2-2 ' <br />Part 1- K�pt By Rewrdin� Office CA7. NO 60025X <br />�002/003 <br />