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12/21/2011 W8D 15:16 FAX 402 471 4429 OCC SECRBTARY OF STATE -�-�-� 8a11 <br />� <br />20110962� <br />�ooz/oo2 <br />W 6ale - UtC 9tON <br />P9s: 1 <br />09:02 HM <br />�ti-�-- <br />Nebraska Department o# <br />�{���:�� NOTICE �F STATE TAX LIEN <br />www.revenue.na.gov (JL�',� Li01�2�,��'Jol.�"�o <br />G�1t�k- 01vO�oto�� <br />This Notice oF State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes including penaltfes and <br />interest, which are shown befow, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />33968306 <br />206329 <br />�Register of D�ds �Counry Clerkl XXX-XX-5679 <br />06/25/2002 �Original �ConGnuation C]Corrected HALL <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME ANO MAILING ADDRESS <br />JOHN A SAUTTER <br />PO BOX 207 <br />GRAND ISLAND NE 68802 <br />Category <br />Num6er <br />22 <br />Tax Period � Date of <br />1996 I O�J126/1999 <br />Amount of Tax Penalty <br />599.78 119.99 <br />Interest I Additions <br />9'12.54 <br />ealance oF <br />Assessment Due <br />1,632.31 <br />� <br />TOTAL <br />$ : 1,632.31 <br />I hEt@� C2T�1(Y 11131 th2 N8bi8Sita DEp814ff18�101 R@VP.fttJ2 h8S CDl1'IPIICtl WI[Il 1172 �EV2(IU218W5 OI UlB AIBIe Or IveD�aSKd m uro ua�o���n� wu��� v� u�c <br />amount shown to be duE, and the taxpayer has failed lo pay lhe amaunt due after demand. If this Notice of State Tax Lien is an extension of an <br />effective lien, it s�ves to continue the priority of the state's interes( in Ihe affected property of the taxpayer. . • <br />��� �� !f� Revenue Agent • � la. aQ � (402�471-5928 <br />s ign P er's Signature �—', dle Date � Telephone Number <br />he1'8 .► Revenue Supervisor fi�� �_ il <br />- 'zed Signeture • � TiGe . . . � . • . Date . <br />' . 4�494;1874 Rev. b2G02 Supersedea 4-4&1-1874 Rer.1,Q-1885 , <br />� <br />