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11/29/ZO11 TUE 15:21 FAX 402 471 4429 UCC SECRSTARY OF STATE -�y-� Hall �002/004 <br />� Form 668 (Y)(c) <br />(Rev. February 20041 <br />592 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number For opc+onai use <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 830538111 <br />As provided by sectian 6321, 6322, and 6323 of the lnternal .Revenae <br />Code, we are g'iving a notice that taxes (iacluding interest and penalties) <br />have beeh assessed against the foUowmg-named ta�ayer. We 6ave �made <br />a demand �for payment of this liability, but it r�mains unpaid. Therefore, <br />there is a Iren in favor of the llnited States on all property and rights to <br />property belonging to this taxpayer �or the amount of these taxes, and <br />additional penalties, interest, and costs that may aarue. <br />Name of Taxpayer TRTPLE C TRANSPORT LLC <br />VONNIE WHITE MBR <br />Residence 2 01 N 1S'i' ST <br />DONIPHAN, NE 68832-1712 <br />IMPORTANT RELEASE MFORMATIOAI: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (e), this notice sha�l, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). ' ' <br />� Tax Period I � Date of � L�st Day for <br />Kind of. Tau Ending ldentifyfing Number A;sessment Refiling <br />F;��: �. <br />201108952 <br />by Hecording Office <br />Llnpaid Balance <br />of Assessment <br />6721 �12/31/20.08� 20-4973399 �o9/a6/aosi� ioia6laoal <br />Place of Filing <br />2039.60 <br />Register of Deeds � <br />Hall POBOX 1692 � � <br />Grarid Island, NE 68802-1.692 <br />Total �$ 2039.60 <br />This notice was prepared and signed� at CHICAGO, IL <br />the �7th day� of November 20i1 <br />. � ,.--�_ <br />, on this, <br />Signature � Title <br />. REVENUE•OFFI�CER 24-10-1720 <br />� for DANIELLE I,. MUELL (402) 4�3-467�5 x2912 � _. . <br />'(NO'I'E: Certificate of officer aut�oriz�d by law to take acknowledgment is not essential to the validity �of Notice of Federal Tex fien - <br />• Rev. Rul. 71-466, 1971 - 2 C.B. 409) . . • �' '' � Form 668(l�(c) IRev. 2-2004)� <br />. . • . , . ' - . Parc 1 - Keyt By Recordtn8 Office ; . CAT. NO 80025X • L <br />\ <br />