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01/03/2012 TUE 14:24 FAX 402 471 4429 UCC SECRRTARY OF STATE -�-�-� 8a11 <br />� �� <br />�looa/ooz <br />iialp Jehn N Gale - UCC STL <br />,14-6 Pes: t <br />PRUL W <br />/�3/2012 12:53 PM <br />201200035 <br />�� � ,r���.r9:.abtrrvt �s� <br />.. "'.�'...v.r� <br />:����� NOTICE OF STATE TAX LIEN <br />w�w'wt. � 'svu�ch W-�.:+r•.rb�'i+�: <br />� <br />PLEASE DO NOT WRITE IN THIS SPACE <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 fncluding penalties and <br />inte�est, which a�e shown below, are due frcm the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a Ifen <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acauired. _ <br />10135235 <br />43-2114334 <br />11167050 �Register of Deeds []County Clerk XXX-XX-3616 <br />Lien Type County <br />12/29/2011 Qx Original �Continuation �Corrected hall <br />BUSINESS NAME AND tOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Category Tax Pe�iod Date of <br />Number Assessment <br />Z � C1 /01/2008 ry 2�24�2011 <br />� 12/3112008 <br />Amount of Tax <br />547.68 <br />PAUL W WARSHAUER <br />t or Other Mailing Address <br />217 N LOCUST ST #500 <br />State <br />GRAND ISLAND NE <br />Penatty I�terest Additions <br />2�.38 I 65.12 <br />68801 <br />Balance of <br />Assessment Due <br />535.9a <br />i <br />� i: . <br />� • TOTAL $ 535.18 � j <br />� ,. <br />I hereby certify that the Nebraska Departmenl of Revenue has complied with the revenue laws of the State of Nebraska in !he determination of the �� <br />amount shown to be due, and the taxpayer has failed to pay lhe amount due after demand. If this Notice of State.Tax Lien is an extension of an 'r� <br />effective lien; it serves to contlnue the priority of the state's interest in the affected property of the taxpayer. ; <br />� ' ' ' 402 595-2070 ?. <br />sign Prepare,�s �Signatur� Title Date Telephbne Num er ' <br />3 ; <br />here e �"pl�' ��� 'L)�'��.N�- . Revenue Senior Agent � ��� �,7� ' I 1 J�J � j ��� <br />Auth,orized Signature Title Dat�� • <br />• : ' ' 4�194-1874 Rev.2-2002 Suparsetles 4484•7874 Rev.70-1895 <br />. . . � �. <br />