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05/09/2011 MON 14:59 FAK 402 471 4429 UCC SECRETARY OF STATE �-�-+ 8a11 <br />Form 668 (�(c) <br />(Rev. Fe6►uary 2�4) <br />� <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: � ''� Serial Number <br />SMALL BU3INESS/3ELF �MPLO� AREA �4 <br />Lien Unit Phone: (800) 9�3-60 ,0 779851211 <br />As provid� by section 6321,� 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice tltat taaes (ietlading interest and peiwides) <br />have been assessed a�inst thei fol[owmg-named taxpayer. We have made <br />a demaed for payment of this ��a6ility, but tt remains wpa�d. Therefore, <br />there is a lien in favor of the nited States on all property and rig�ts !o <br />property belonging to th�s ayer for the amo�t of these taxes, and <br />addit�onal penalties, interest, nd cans that may accrue. <br />a Corp�ra <br />Residence 504 UT 10 ST <br />� GRAND ISL�ND, NE 68801-4045 <br />of Deeds <br />�X 1692 <br />land, NE 68802-1692 <br />fMPORTANT RELEASE'INFO�MATION For each assessment listed balow, <br />unless notice of the Iten is r�efiled 4Y the date given in column leb thls notice shall. <br />on the day •following such ctate, I operat� as a certificate of release as defined <br />in IRC 6325(a). ' , <br />Ta�c PerYod ' Date of Last Day for <br />Kind of Tax Ending 1�Mentifying Number Asse.ument ReEil➢ng <br />/�\ /Li '� •_� i f♦ i_� <br />940 I12/31/2010 <br />941 09/30/20D9 <br />� <br />Place of Filing <br />47-0814486 IO2/14/2Q11I 03/16/2021 <br />47-0814486 03/21/2011 04/20/2021 <br />Regist <br />H�17. P <br />Grand <br />This notice was �prepared and sig�ned at <br />• I <br />the 25th day of �Pri <br />Signature <br />for PATRICK J <br />(NOTE: Certificate of officer au� <br />Rev. Rul. 77-466. 1971 - 2' C.B. <br />�ooz/oos <br />For Optional Use by Recording Office <br />2011.03533 <br />� see eF see�e <br />9911881093- <br />Total �$ 10743.74 <br />CHICAGO, IL � , on tFiis, <br />2011 <br />Title . <br />REVENUE OFFICER <br />(308) 384-485� <br />332.74 <br />10371.00 <br />24-10-1744 <br />by law to take acknowledgmertt is not essential to the validity of Notice of Federal Tex Iten <br />Part f• Kept Bp Recording Offlce Form 668(lf)(c) IRav. 2-200 ) <br />• CAT. NO 60025 <br />1 <br />T <br />Unpaid Balance <br />ot Assessment <br />