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12/20/2010 HON 15:03 FA,X 402 471 4429 UCC SECR$TARY OF STAT� ��� Hall <br />Form 668 (Y)(t) <br />(Rev_ Februa�y Z904) <br />��� , _ <br />Departmen# of the Treasury - Internal Revenue Service <br />Notite of Federal Ta;� Lien 2 � 1 D 0 9 5 4 2 <br />Area: . Serial Number <br />SMALL BU5IN�SS/9SLF FMPI,OYBD AREA #4 <br />Lien Unit Phone caoo) 829-3903 730486110 <br />As provided by section 6321, 6322, and d323 of the lnternal Rmrenue <br />Cade, we are giving a notice that ra�res (inclading interest and penalties) <br />have bcen asseued against the fo[Iowin�-named Wxpa�er. We have made <br />a demand for payment of Chis liability, but it remains unpaid. Therefare, <br />th�re is a lien in favor of the llnited $tates on all property and rights ta <br />properry belonging ta thts taycpayer for the amount of these taxes, and <br />additional penaltiea, interest, and cvsts that may accrue. <br />Name of Taxpayer PANKON�N ROOFZNG TNCORPQRA.TED <br />a Corporation <br />Residence 4xp ��nlggg g.p STE 8 <br />GRAND ISLAND, NE 68803-510Q <br />Far Optional Use by Recording Qffice <br />IMPORTANT R�LEASE IN�ORMATION For aach assessment listed below, <br />unlQSS notice of the lien is refiled by the date qiven in calumn (e), this notice shall, <br />on the day follawing such date, operate as a certificate of release as defined <br />in IRC 6325(a)_ <br />Tax Period Date of last Da� for <br />Ki►wd af Tax Ending identifying Number Assessment Refling <br />NE 5ac v� itsl� l�hn p Bsle - UGC F7L <br />9810645925-7 Pgs: f <br />PANKONIN ROpFING INCDRPORATED <br />Ftled: 12120/2010 09:14 AM <br />94b 12/31/2009 20-p832458 08/09/201p b9/Q8/2020 <br />941 12/31/2Q0$ 20-Q$32458 03/1G/20Q9 04/1�/2019 <br />9�1 03/31/2Q09 2p-0832458 08/p9/20].0 09/Q8./202p <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE d8802-1692 <br />unpaid Balance <br />of Asseument <br />�003/006 <br />167.37 <br />3569.26 <br />7.861. 40 <br />Total � $ 5598 . 03 <br />This nptice was prepared and signed at CHICAGO, TL <br />the 09th day of December 2010 <br />Signature <br />�or M�CHAEL W. CaX <br />, on this, <br />Title <br />ACS <br />(800) 829-3903 <br />24-Op-ODp8 <br />�n� � �: �erimcate or orricer autnonzea ny iaw to take acknowledgment is not essentisl to, the validity of Notice of Federal Tax lien <br />Rev. Rul. 71-466, 197'1 - 2 C.B. 409) Form 668(Y)(t) (Rev. 2-2004) <br />Part f- Kept 6�► R�cording Oftice CAT. Nq 60025X <br />