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03/14/2012 b�t'8D 15:22 FA7C 402 471 4429 UCC SECRETARY OF STATS ~~~ Hall <br />�' <br />l� <br />20120�.95 <br />. <br />�004/004 <br />- utc sn <br />P9s: 1 <br />PM <br />� w— wr— <br />�17i�llo�alske �pyarprR�b�t �IIfi <br />,. �41�E NOTICE OF STATE TAX LIEN <br />'w Ww.a r'W►Ih1v�l. n �. {y Ov <br />This Notice of State Tax Lien ts isr:ued 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 specifled <br />below and remain unpaid after demand. These taxes constitute a lien <br />in trie county for real and personal properly belonging-to the taxpayer <br />9985968 <br />��� r J� y�.� QX Register of Deeds [�Counry Cle�k XXX-XX-7944 <br />ate of Lien Lien Type County <br />03/OS/2012 QOriginal []Continuation �Corrected Hall <br />BUSINESS NAME AND LOCAT10P1 ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Category Tax Perlod <br />Number <br />01 08/01 /2010 <br />11 /30/2010 <br />01 03/01/2011 <br />04/30/2071 <br />Oate of Amount of Tax <br />Assessment <br />02/07/2011 0.00 <br />10/15/2011 2,020.00 <br />RONALD F. KING <br />t or Other Mailirtg Address <br />2615 W. CHARLES <br />GRAND ISLAND <br />Penalty Inte�est <br />228.74 43.75 <br />a04.00 83.85 <br />NE. <br />Additions <br />68801 <br />Balance of <br />sessment Due <br />272.49 <br />2,507.85 <br />TOTAL �$ 2,780.34 <br />���a�a�y �o�wy u��� u�e �vdorasrca ueparimeni or rcevenue nas complietl with the revenue laws of the State of Nebraska in the determination of the <br />amount shown to be due, and the taxpayer has failed to pay the amount due after demand. If this Wotica oP State Tax Lien is an extension of an <br />effec6ve tien, it serv ntfnue the priori he state's interest in the affected property of the taupayer. <br />� 402 471-6067 <br />e �. Revenue Agent ,� ,?v/�, <br />sign Prep r's Si a ure Title Date Telephone Number <br />here e Senior Revenue Agent 3' (�- I L <br />ut orized Signature Title Date <br />4-494-1974 Rev. 2-2002 Supersedes 4�494-1974 Rev. 1Q-1895 <br />