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02/10/2012 FRi 15 :39 FA% 402 471 4429 UCC SECRETARY OF STATE �-+� 8a11 <br />I�ooa�ooz <br />� <br />�, <br />l <br />����- <br />Nebraska Depar•taTisnt of <br />���' ,;,R .�- �� NOTICE OF STATE TAX LIEN <br />www. �ev�.ki.e, ne �pqv <br />This Notice of State Tax Lien is issued by the Nebraska Deparbne�t 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 a�e shown below, 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 betonging to the taxpayer <br />or hereafter acquired. <br />Nebraska Ideritiflc�tion Numb� Federal IdendScatio <br />43534481 <br />11269272 �Register of Deeds �]County Clerk XXX-XX-0742 XXX-XX-4757 <br />Jate of Lien Lien Type County <br />02/OS/2012 �Origircal �Con�nuaaon �Corre�t� HALL <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />ANDREW DANNER <br />DAWN DANNER <br />1120 ORANGE STREET <br />GRAND ISLAND NE 68801 <br />Category Tax Pe�od <br />Number <br />22 2008 <br />22 2009 <br />22 2010 <br />Date of Amount of Ta�c Penalty <br />Assessment <br />01/20/2010 4,567.00 1,483.00 <br />05/07/2010 339.00 16.95 <br />10/19/2011 1,352.00 90.68 <br />Interest. � Additions <br />789.25 <br />30.84 <br />55.38 <br />TOTAL � $ 8, 724.10 <br />Balance of <br />Assessment Due <br />8,839.25 <br />386.79 <br />1,498.06 <br />� r�ereoy c�ary uia� me N�rasKa ueparanen[ ot rcevenue nas compuea Wntn tne reven� taws or me State ot rv�rasKa in Ne aeterm►r�aaan or me <br />amount shown to be due, artd the taxpayer t� failed lo pay the amount due after demand. ff this Notice of State Tax Lien is an extensian of an <br />effec�ve lien, it sero� to conGnye the prrority of the state's interest in the affected property of the taxpayer. <br />� � (402)471-5713 <br />Slgil Pre rers g t Title Date Tele.phon IVum er <br />here ► Revenue Supervisor o7 D l�. <br />Authorized Signatu Title Rate <br />4�94-1974 Rev. 2•2002 Supersedes 4-494•1974 Rav.10-1995 <br />`��. . <br />pp�ry� RNDKtw <br />Filed: 02/10/2012 09:34 AM <br />201209.090 <br />