201103795 - Laserfiche WebLink

Browse

05/19/ZO11 THU 14:45 Form 668 (1�(c) 1Rev. February 2�4) FAR 402 471 4429 UCC SECRETARY OF STATE y-�-� 8a11 Area: Serial Number � SMAT,L BU9INES5/BELF BMPLOYED AR�A #4 � Lien Unit Phane {800) 913-6050 • 761977211 As provided by secdon 6321, b322, and 6323 of tbe Internal Revenue Code, we are giving a no�ice that t�axes (inciuding iaterest and penalties) have been assessed a�ainst the foUow�bjg-named taxpayer. We have made a demaad for payment of this 6ability, but it remains anpaid. Therefore, there is a lien in favor of the U� Stat� on aU property and righu to property belonging to this taxpayer for the amaunt of these taxes, and adclitional peaalt�es, interest, add wsts that imay accrue. Name of Taxpeyer BLAKE TRANSPORT ZPIC, a Corporation Residence 2455 LANJAR AVE GR.AND ISLAND, NE 68803-6233 For IMPOR7'ANT RELEASE IN�ORM�ATION For each assessment listed below, unless notice of the tien is refiled by the date given in column (e), this notice shall, on the day following such daCe, operate as a certificata of reiease as defined in IRC 6325{e). Tau Period Date of Ias�t� D_ay for Kincl of Ta�c Ending ident�'jring Number /�ssessment Refiluig �003/004 201103"7.95 tlnpaid Balance of Assessment 941 �12/31/2010� 47-0860589 �04/11/2011� 05/11/2021 Place of Filing BLRKE Fllad: Department of the Treasury - Internal Revenue Service Notice o# Federal Tax Lien Regiater of Deeds Hall POBOX 1692 - Grand Island, NE 68802-1692 1843.19 Total I$ 1843.19 , This notice was prepared and signed at th�e • . 02nd day of May CHICAGO, IL Z 011• , on this. Signature �� Title REVENUE OFFICER 24-10-1739 for KAY PONTE (308) 384-4850 (NOTE: Certificate of officer euthorized by taw to take acknowledgment is �t esaential to the vetidity of Notice of Federal Tax lien Rev. Rul. 71-466. 1971 - 2 C.B. 409) Form 668(lf)(c) (Rev. 2-20 Part 1- Kept Sy Recording OHice CAT. NO 60026X ��: I. i • 1. �; ,_. �• . s �•:: ;•.