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06/22/2012 FRI 14:19 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ �all <br />�� <br />`�l�12�5 <br />�002/002 <br />� N� ka.�epartmenc of <br />REVEN�JE NOTICE OF STATE TAX LIEN <br />,�►�,;,,►.��vQ�ue.�e.�a„ <br />This Notice of State Tax Llen �is issued by the Nebraska Department of <br />Revenue fo� 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 specifted <br />below and remain unpatd after demand. These taxes constitute a lien <br />in the county for r�al and pe�sonal properEy belonging to the taxpayer <br />or hereafter ac4uired. <br />12373273 <br />11285429 <br />�Registeraf Deeds �County Clerk` XXX XX-8322 <br />NEgRASKA DEPT OF REVENUE <br />1313 FARNAM-ON-�I�E-MALL <br />OMAHA NE 68102-187 <br />06/19/2012 �Original ❑Contin�ition ❑Corrected HALL <br />BU5INESS NAME AND LOCATION �DDRESS TAXPAYER NAME AND MAIUNG ADDRESS <br />EDWARD R WALKER <br />P O BOX 1344 <br />GRAND ISLAND NE 68802 <br />Category <br />Number <br />22 <br />22 <br />Tax Period I Date of <br />Assessment <br />2008 I 11/20/2009 <br />2009 I 11/05/2010 <br />Amount of Tax Penelty <br />111.00 27.75 <br />277.00 68.25 <br />Interest <br />17.65 <br />30.20 <br />156.40 <br />376.45 <br />i <br />TOTAL � $ 532.85 <br />��� wy �,c� w� u uu u ia �vcu�a�ha uCFrarunen[ or ReYB�U@ f1aS (�Rip1t80 WIQI �l8 fEV611U@ 18H9 0� 01B,[8[2 0� N2D33Si(8 ifi VIE GET2ff11tR2tIQf10F lh@ <br />amount shown to be due, and d�e t a er failed to pay the arnount d� after demand if this Nbdoe of State Tax Lien is an e�der�sion of an <br />effechve lie�, ft serv� 40 oontfnu Fie prio of interest in the affected property of the taxpayer. <br />Si n p � ` f Re�ve nueAgent ���g�� (�08)632-1206 <br />9 s �a '`— epFrone umbe <br />here ► '' Revenue Supervisor /� �- <br />uthorize ' nature Title Dat . <br />�-484-1874 Rev. 2-2002 Superaedes 4494-1974 Rev 1a1895 �. <br />a <br />\ <br />Add�lons I Balance of <br />Assessment Due <br />Filed: 06 %22/2012 0g:p2 qM <br />