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06/23/2Q11 THU 15:12 FAX 402 471 49�29 UCC SECRETARY OF 5TATE y-�-� Hall <br />� <br />,� <br />Form 668 (Y){c) <br />(Rev. February 2004) <br />�ooa�oo3 <br />Depertment of the Treasury - Internai Revenue Service 2 O 11 � 4 Q 2 <br />Notice. of Federal Tax lien � <br />A�ea: Seriai Number <br />st�r,L strsrx�ss/s� �r�o�n � �4 � <br />Lien Unit Phone: (800) 913-6050 791907611 <br />As provided by sectioe b321, 6322, and �6323 of the laternal Revenue <br />Code, we are gfving a notice that taxes (inclading inter�st and penalt�es? <br />have be,en assessed against the followa�g-named taxpayer. We have made <br />a demand for payment of tliis liab�ity, 6ut it remains unpaid. Therefore, <br />there �S a lien in favor of thc lldited States on aH property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and casts that may aarue. <br />Name of Taxpayer RSIS CONSTR�'CTION TNC, a Corporation <br />Residenqe 4145 MANCHESTER RU <br />GR.AND�ISLAND, NE 68803-1508 <br />For <br />IMPORTANT RELF,ASE INFORMAT#ON Frnr each assassmerrt listed below, <br />unless notice of the fien is refiled by the date given in column (e!, this notice shall. <br />on the day foilowing such date. operate as a certificate of release as deflned <br />in IRC 6325(a). <br />Tax Pcriod Date of Last Day for <br />IC�nnd of Tax Ending Identitying Num6er Assessment Refiiing <br />Office <br />unpaid Balance <br />of As�essment <br />940 �12/31�2010� 47-0814574 �05/09/2011� 06/08/2021 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total � $ 141. 02 <br />This notice was prepared and signed at � IL , on this, <br />�� 08th day of J�e 2011 ' <br />Signature � Title <br />1�VENiTE OFFICER 24-10-1720 <br />for DANIELI,E L MUELL � (402) 473-4675 x2912 <br />{NOTE: Certiflcate of officar authorized by law to take ecknowledgment is not e�sential to the validity of Notice of Federal Tax lten <br />Rev. Rul. 71-466, 7971 - 2 C.B. 409) form 668(n(c) IRev. 2-2004 <br />Part 1- Kept B�r Recoadfu; Office CA7. NO 60025X <br />141.02 <br />__ <br />