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O1/09/2012 MON 15: Z6 FAx 402 471 4429 UCC SECRETARY OF STATS -�y-� Hall <br />� <br />� <br />20�2UO235 <br />� <br />I�1002/003 <br />NE See af 51a�e John N Gale - UCC SCGN <br />9912681651-4 Pss: � <br />DAHMS D�ROTHY K <br />Filed: 01/09/2012 10:24 AIM <br />ocia�inAl �CC 9q422ltblb - <br />� •— �-- � <br />�,��.b4k. ��.,,�.�, a� C�� b� �n9 � 2 0 0 2 aN S4 � .... ... <br />�E���E NOTICE OF STATE TAX LIEN <br />wwvr. r�wbrY W.�. r� . tiBOv <br />7his Notice of State Tax Lie� 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 penalties and <br />interest, which are shown below� are du� from the taxpayer specified <br />below and remain unpaid afte� demand. These taxes constitute a lien <br />in the county for real and parsonal property belonging to the taxpay�r <br />or hereafter acauired. <br />8290199 <br />2-04-820 QRegister of Deeds �Counry Cie�c xxx-xx-4464 <br />Lien Type County <br />03/18/2002 �Original QContinuation �Corrected Hall <br />BUS INESS NAME AND LOCATION ADDRESS 7AXPAYER NAME AND MAILING ADDRES3 <br />K Dahms <br />Category I Tax Pe�lod I Date of <br />Num6er AssessmQ <br />01 "" "`""" 03/18/2002 <br />03/31/2000 <br />Amount of Tax <br />1,865.18 <br />t ar other malnng Aadress <br />20 St James Place <br />Grand Island <br />Penalty lnterest <br />186.51 I 325.97 <br />� <br />5tate Zip Code <br />NE 68803 <br />Additlons I Balance of <br />Assessment Due <br />2,377.66 <br />TOTAL � $ 2, 377.66 <br />i noinuy w�u�y uia[ [ne rve�rasKa uepaRmen[ oT Kevenue nas COmplietl Wlth t�e revenue IaWS of tFle 5tete•of Nebraska in the detertllinatlon of U7e <br />amount shown to be due, and the�.taxpeyer has fafled to pay the amount due after demand. If this Nofice of State Tax Lien is an extenslon of an �� <br />effective lien, � seroes to continue the priority of the state's interest in the affeded property of the taxpayer. --• <br />e Jim Leuck � Revenue Supervisor 01/02/2012 402 595-2077 <br />sign Preparer's Signature , j TiUe Date Telephone Num r -- <br />here e � ,�.G�6//�RKvenue SuPervisor 01/02/2012 . ��•�;,, <br />Authorized ignature Tdle . Date <br />4r184-1974 Rev. 2-2UO2 Supatsedes 4484-7974 Rev. 70-1995 <br />`\� <br />� <br />