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06/O1/2011 W8D 15:13 FAx 402 471 4429 UCC SECRBTARY OF STATE -��� Hall <br />Form 668 (Y)(t) <br />lRev. February 2004) <br />Department of the Treasury - Internal Revenue Service 2 0110 417 2 <br />Notice of Federal Tax Lien <br />Area: � Serial Number <br />SMALL BIISINES3/SELF EP+�LOYED AR.EA #4 <br />Lien Unit Phone: (800) 913-6050 785019911 <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are g�iving a notice that taxes (including iirterest and peaalti�s) <br />have been assessed against the foltowh�g�-nam�1 taxpayer. We have made <br />a demand for payment of this {iabivey, but it remains anpaid. Therefore, <br />there is a lien in favor of the W�ited States on all property and rights to <br />property belonging to thfs taxpayer for the amount of these taxes, and <br />additional penalties, u�terest, and costs that may accrue. <br />For Oational Use bv Recordina Office <br />@looa/oo3 <br />-� <br />p201��:09 RM �OR <br />Taxpayer <br />�'�%7+� <br />a Corporation <br />INC <br />Residence 379 N WALNIIT ST <br />GRAND ISLAND, NE 68801-4513 <br />IMPORTANT ttELEASE IN�ORMATiON For each assessment Ifsted below, � <br />unless notice of the lien is refiled by the date given in column tel, this notice shalt, <br />on ths day follawing such date, operate as a certificate �f release as defined <br />in IRC 6325(a). � <br />Tax Period Date of Las�t� Day for <br />Kind of Tax End'mg Identifjring Number Assessment Refiling <br />1120 12/31/2009 47-p821358 04/11/�011 O5./11/2021 <br />941 12/31/2009 47-0821358 04/11/201Z 05/11/2021 <br />941 06/30/2010 47-0821358 04/l1/2011 05/11/202Z <br />941 09/30/2010 47-0821358 04/11/2011 05/11/2021 <br />941 12/31/2010 47-0821358 04/18/2011 Q5/18/2021 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand ISland, NE 68$02-1692 <br />tlapaid Balance <br />of Assessment <br />534.00 <br />691�.16 <br />9209.55 <br />8832.59 <br />6482.69 <br />Total �$ 319 6 8. 9 9 <br />This notice was prepared and signed at CHICAGO, IL <br />the �' day af May 2011 <br />, on this, <br />Signature Title � <br />��` RF`IENQE OFFICER 24-10-174� <br />for PATRICK J KELL (308) 384-465U <br />(NOTE: Certlflcate of officer authorized by law to teke acknowledgment fs not esser�al to the validity of Notice of Federel Tax Ifen <br />Rev. Rul. 71-466. 1977 - 2 C.B. 409) Form 668(n(tj (Rev. 2-2004) <br />Pare 1- Kept By ItecordMg �(flce � coT. Nn Rnn�Fx <br />