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� <br />05/09/2011 MON 14:59 FAX 402 4429 UCC SECRETARY OF STATE y-�y Hall <br />3592 . <br />� Department pf the Treasur - Internal Revenue Service <br />�Ora� 668 (Y)(t) � y <br />,Ae� February 20041 ' Notice of Federat Tax Lien <br />Area: Serial Number For Optionb <br />SMALL BUSINESS/SBLF EMPLO AREA #4 <br />Lien Unit Phone: (800) 829-390 780196211 <br />As provided by section 6�21, <br />Code, we are g�vin� a notice tl <br />have 6een auessed aga6�st the <br />a demand for paymeet of this <br />there is a lien in favor of the 1 <br />property beloeging to this tax <br />addidoeal penalties, interest, : <br />% JOEL B <br />�003/003 <br />22, and 6323 of the Internal Revenae <br />taxes (Inc[uding interest and penaMdes) <br />towieg-named ta�cpayer. We have made <br />�ility, but it remains anpaid. Therefore, <br />ted States on all property and rigl�ts to <br />�er for the amouet of these ta�cc�, and <br />costs that may aaru�• . <br />Residence� 113 5 S LO ST ST <br />GRAND`IS , NE 68801-6771 <br />IMPORTANT RELEASE tNFO�TION: For each assessment li'sted below, <br />unless notice of the Ifen is refiled y the date given i� column (e), this notice shall, <br />on the day foilowing such date, operate as a certificate of release as defined <br />in IRC 6325(a). � <br />Tax Period Date of Last D�a�yfor <br />Kind of Tax Ending 1 entifyieg Number Assessment Refll�ng <br />a) b c d) (e) <br />crvp i2/31/aoo� �5-a9�3�o� os/oa/zoso 09/O1/2020 <br />Place of Filing <br />Regi,ste$� of Deeds <br />Hall PO�OX 1692 <br />Grand Is�land, NE 68802-1692 <br />This notice was prepared and sig�ned at <br />the 26th day of Apri <br />Signature <br />for MICHAEL W. COX <br />(NOTE: Certificate of officer eutl <br />Rev. Rul. 71-466, 1971 - 2 C.B. <br />Total � $ 225 . 00 <br />CHICAGO, IL <br />2 U 11 <br />Use by Recording Oftice <br />201103534 <br />llnpaid Balance <br />of /tssessment <br />22�.00 <br />, on this, <br />� � Title <br />ACS SBSE 24-00-OOUS <br />(800� 829-3903 <br />by lew to teke acknowledgmeM ls not essential to the validity of Notice of Fedaral Tax lien <br />Part 1- Ke�►t By Recor�ng Offlce �� 669(lf)(c) 1Rev. 2-2004 <br />. CAT. NO 60026X • <br />