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02/28/2012 TUE 14:37 FAX 402 471 4429 UCC SECRETARY OF STATE -+y-� 8a11 <br />� <br />� <br />� <br />20�.20�.56v <br />��� � ��.� <br />� . �.. <br />.�,,.�„�..�..�_�� <br />I�oo2�ooa <br />NOTICE OF STATE TAX LIEN <br />This Notice of State Ta�c 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 penalties and <br />interest, which are shown below, are due from the taxpayer spec�ed <br />below and remain unpaid after demand. These ta�ces constitute a Ilen <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acauired. <br />10B57290 <br />77-0666698 <br />� QX Register of Deeds �County Clerk XXX-XX-8878 <br />lfen Type County <br />02/16/2012 QX Original []Continuabon �Corrected Hall <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Category Tax Period Date of <br />Number Assessment <br />2 ,� 01/01/2010 02/23/2011 <br />12/31i2010 <br />2 ,� 01/01/2011 11/07/2011 <br />03/31/2011 <br />2 � 01/01/2009 08/11/2010 <br />12/31/2009 <br />Amount of Tax <br />1,537.71 <br />0.00 <br />15.62 ° <br />Marlin Schroeder <br />t or Other Mailing Address <br />2041 st St. <br />Shelton <br />Penalty Interest <br />351.49 <br />25.00 <br />1.56 <br />111.86 <br />0.00 <br />1.62 <br />Ne. <br />Additlons <br />TOTAL <br />68876 <br />Batance of <br />2,001.06 <br />25.00 <br />18.80 <br />$ 2,044.86 <br />�����a�y w�►��r ��a� u�o �.vu���Ra veparuneni or rcevenue nas compuea wan [ne revenue iaws or me s[ace or rveorasKa in [ne ae[armmaaon ot tne <br />amount shown to ba due, and the taxpa,yer has failed to pay the amount due after demand. If this Notice of State Tax Lien is an extension of an ' <br />effecave lien, it se continue the prioriiy he state's interest in the affected property of the taxpayer. <br />e _ ' Revenue Agent o� 3 o a 402 471-6067 <br />sig n Prep rer's Signature Title D e elephone Number <br />here e Senior Revenue Agent ��� �/� <br />thonzed Signature Title Date <br />4�494-1974 Rev. 2•2002 Supersedes 4�89-1874 Rev.10-1995 <br />i <br />►J <br />