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07/18/2012 AiED 13:53 FAX 402 471 4429 UCC SECRETARY OF STATE '�"'�"'� 8a11 <br />� ' <br />NEBRASKA DEPT OF REVENUE <br />1313 FARNAM-ON THE-MALL <br />QMAHA NE 68102-1871 <br />2012U���i <br />�002/002 <br />NE Sec af S�eia Jehn Ii Gete - UCC STL <br />9912695927-5 Pas: 1 <br />BAAI MARCO <br />Ftled: 07118/2012 08:64 Rf9 <br />� . <br />Nebraeka Departrnent of <br />�EVE�I:IlE NOTICE OF STATE TAX LIEN <br />W,�,.�e�enue.�e.�o� <br />This Notice of State Tax Lien is issued by the Nebraska Deparrtrnnent of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given tliatiaxes including penaltles and <br />irrterest, which are shown below� are due from the taxpayer specifled <br />below and remain unpaid after demand. These �c� constitute a lien <br />in the county for real and personal property belonging to the bixpayer <br />or hereafter acauired. � <br />99454300 <br />11288992 <br />�Register of Dee�s �Counry Clerlcl XXX XX-8221 <br />07/16/2012 �Ortginal QCondnuation �Comected HALL <br />BUSINESS NAA9E AND LOCATION ADDRESS TAXPAYER NAME <br />MARCO BAAI <br />10069 6TH AVE NW <br />AUSTIN MN 55912 <br />Cetegory <br />Num�r <br />Fka <br />22 <br />Tax Pedod Date ot <br />Assessment <br />2009 05/11@012 <br />2010 I 17/OM2011 <br />Amount of Tax Penally <br />119.00 5.90 <br />1,26620 69.80 <br />Interest <br />13.32 <br />85.25 <br />Addftiona I Balance of <br />Assessment Due <br />138.22 <br />1,421.35 <br />TOTAL I $ 1,55s.57 <br />� ��ce cuy � my u iat u �c rvcw�i�Ra unpa�unell( pi tcevBflUB f18S QORIpIf2U WIUI Ut81'8V2�1J@ 18VY5 Ot [IlE SYd[C Ot NBbI2SN8 Ul U12 tl2tefRllRddliO� Of tllE <br />amount sF�rnm to be due, and tl� taxpayer has failed to pay the amaunt due afte� derr�and. If this Notice of State Tax Lien is an eac6��an af an <br />effective lien, it serve.s to,cpn6nue the priority of ttte state's inter�t in the affec�ed property of the ta�aye . <br />r_ -� <br />� Revenue Senior Agent (308�32-1205 <br />sign TfUe Date Teleptm u <br />here ► Revenue Supetvisor �� �� <br />Si ture Title <br />4-494-t974 Rev. &200Z SuyeraeCes 4-184-1974 Rev.141�5 <br />; <br />�1 <br />1 <br />