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03/09/2012 FR= 11:56 FAx 402 471 4429 UCC SECRETARY OF STATE -�y� Hall �_ � ' 20120�.II3� s�Q�br�tslsr !DsysrterRar+R e�t �� 1MWTN.yrVWi�W�i. h.i. �b'v BRYER Filed: I�J002/002 Pgs; � 10:24 AM NOTICE OF STATE TAX LIEN This Notice of State Tax Lien is issued by the Nobraska Department of Revenue for unpaid taxes pursuant to the r�venue laws of the state of Nebraska. Notice is hereby gPven that taxes including penalties and interest, which are shown below, are due from the taxpayer specffied below and remain unpaid after demand. These taxes constitute a lien in the county for real and personal property belonging to the taxpayer or hereafter ac4uired. 9712593 /roZ r 'fd,3 yG . �Register of Deeds �Counry �ate of Lien Lfen Type 02/15/2012 QOdgfnal �Continuation BUSINESS NAME AND LOCATION ADDRESS Category Ta�c Perlod Date of ac Numbe Assessment 01 01/01/2009 p��06/2009 03/31 /2009 01 �� /2009 09/25J2010 06/30/2010 01 07/09/2010 12/1 S/2011 12/31/2010 01 01 /01 /2011 12/ 18/2011 06I30/2011 Amount of Tax 0.00 164.69 710.00 530.00 XXX-XX-1800 �]Corrected Hall TAXPAYER NAME AND MAILING ADDRESS Brett Bryer t or Other Mailing Address 4020 Kay Avenue Grand Island, Penalty Interest Ne. Additions 0.00 1.43 418.77 78.04 142.00 42.02 113.50 19.30 TOTAL 68603 Balance of Assessment C 1.43 661.50 894.02 662.80 $ 2,219.75 ��a�o�y ��y �� u�o �vv��asRa uapaRmen� oT rcevenue nas compuea wim [ne revenue laws of the 5tate of Nebraska in the determination of the amount shown to be due, and the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax Lien is an extension of an effective lien, it serve c tinue the prio ' he state's interest in ihe affected properly of the taxpayer. e , Revenue Agent 402 471-6067 sign repa ers Signature Tlt{e D te Telephone Nu r here e y-- SeniorRevenueAgent 3- �-/� utho Signature Title Date 4-49A-1974 Rev. 2-2D�2 Supersedas 4�484-1974 Rev. 10-19a''i � �' ,�� ;