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OB/22/2011 MON 14:49 FAx 402 471 4429 UCC SECRBTARY OF STATE -�-�y Hall <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />�lotice of Federai Yax Lien <br />Area: Serial Number <br />SMALL BIISINESS/SELF �'NIPLOYLD .ARF.� #4 <br />Lien Unit Phone: (800) 913-6050 � . 806979911 <br />As provided by section 6321, 632Z, and� 63Z3 of the leternal Revenue <br />Code, we are giving a nodce that taxes (including interest and penalde,$) <br />6ave been auessed against the fotlowing-named taxpayer. We have made <br />a demand for payment of this tiabuity, but it remains unpaid. Therefore, <br />there is a' lien in favor of the lJnited States on a11 property and'rights to <br />property betonging to tbis taxpayer for the amount of these taaes, and <br />additional penalties, interest, and costs that may accrue. <br />ame <br />& MASER, a Partner <br />Residence 220 OXNARD AVE <br />GRAND ISLAND, NE 68801-6782 <br />�o��us�s� <br />For Optional Use bv Recordinq OfNce <br />�IMPORTANT RELF.ASE INFORMATION For each assessment listed below, <br />- unless notice of the lien is refiled by tha date given �in column (e1, this notice shall, <br />on the day foltawing such date, operate as a certificate of release es defined <br />in IRC 6325(a). ' <br />� 7'ax Peniod � Date of I.ast D�a�y for <br />Kinc� of Tax Ending Identifying Number Assesament Refiluig <br />940 <br />94 0 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941� <br />941 <br />941 <br />941 <br />Place of Filing <br />�ooz�ooz <br />Department of the Treasury - Internal Revenue Service <br />27-5405920 <br />27-5405920 <br />27-5405920 <br />27-5405920 <br />27-5405920 <br />27-5445920 <br />27-5405920 <br />27-5405920 <br />27-5405920 <br />27-540592Q <br />27-5405920 <br />27-5405920 <br />27-540S920 <br />27-5405920 <br />05/16/2011 <br />05/09/2017, <br />04/18/2011 <br />04/18/2011 <br />04/18/2011 <br />04/25/2011 <br />Q4/18/2011 <br />04/18/201I <br />04/25/2011 <br />04/25/2011 <br />04/18/2011 <br />04/18/2011 <br />04/18j2011 <br />04/18/2011 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Unpaid Batance <br />of Assessment <br />290.44 <br />250.88 <br />7936.73 <br />8898.94 <br />8833.82 <br />8695'. 04 <br />8544.74 <br />8559.35 <br />8435.01 <br />8741.24 <br />7821.16 <br />8540.01 <br />8377.64 <br />7422.99 <br />Total � $ 101347 . 99 <br />This notice was prepared and signed at <br />the 10th day of August <br />20].1 <br />CHICAGO, IL <br />, on this, <br />Signatu�e � Title ' <br />REVENiTE OFFICER 24-10-1720 <br />for DANIELLE L MUEL (402) 473-4675 x2912 <br />(NO7'E: Certificate of officer authorized by law to teke acknowledgment is not essentiel to the validity of Notice of Federel Tex lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(�(t) iRev. 2-2004) <br />Part 1- Kept By Recording OflFce � CAT. NO 60025X <br />1�/31/2008 <br />12/31/2010 <br />Q3/31/2008 <br />06/30/2008 <br />09/30/2008 <br />12%31/2008 <br />03/31/2009 <br />06/30/20.09 <br />0.9/30/2U09 <br />12/31/2009 <br />03/31/2010 <br />06/30/2010 <br />09/30/2010 <br />12/31/2010 <br />06/15/2021 <br />06/08/2021 <br />05/18/2021 <br />05/18/2021 <br />05/18/2021 <br />05/25/2021 <br />05/18/2Q21 <br />05/18/20.2�. <br />05/25/2021 <br />05/25/2021 <br />�05/18�/2021 <br />05/18/2021 <br />05/18/2021 <br />05/18/2021 <br />� <br />