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Tax <br />Category <br />Tax Period <br />Date of <br />Amount of Tax <br />Penalty <br />terest <br />Additions <br />- Balance of <br />Number <br />Assessment <br />, ' <br />Assessment Due <br />03/21/2013 THU 15:30 FAX 402 471 4429 UCC SECRETARY OF STATE <br />• <br />This Notice of State Tax 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 specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />Nebraska Identification Number <br />• 10734821 <br />Lien Serial Number <br />par <br />Date of Lien <br />BUSINESS NAME AND LOCATION ADDRESS <br />Business Name <br />Street Address <br />City <br />01 <br />01 <br />01 <br />01 <br />01 <br />sign <br />here <br />05101 / 2010 <br />11/03/2010 <br />09/30/2010 <br />I hereby certify that the Nebraska Department <br />amount shown to be due -, • he taxpayer h <br />effective lien, it sery o tinue the prio <br />Lien With <br />Register of Deeds <br />Lien Type <br />State Zip Code <br />0.00 <br />201302226 <br />s+leb ,sloe Oc.portrs- irr4 m4 <br />EE NOTICE OF STATE TAX LIEN <br />iW1M.'nr`.l aKVl.h.f�fr. su w.dOV <br />03/14/2013 © Original ElContinuation <br />County Clerk <br />Federal identification Number <br />POSE DO NOT WRITE IN THIS SPACE <br />Social Seruf <br />-6339 <br />Hall <br />NE See of Sfafe John A Gale <br />- UCC S1l <br />1111111 <br />11:35 qM <br />Spouse's Social Security Number <br />;linty <br />OCorrected <br />TAXPAYER NAME AND MAILING ADDRESS <br />Name <br />BRIAN K. HOWARD <br />Street or Other Mailing Address . <br />851$ AVEBUR.i' CT <br />City y p <br />JACKSONVIL <br />12/01/2010 03/07/2011 <br />12/31/2010 <br />10/01/2010. <br />10/31/2010 <br />02/01/2011 <br />02/28/2011 <br />03/01/2011 <br />03/31/2011 <br />- 05/05/2011 <br />05/05/2011 <br />08/04/2011 <br />0.00 <br />40.86 <br />0.00 <br />0.00 <br />25.0Q <br />30.72 <br />25.00 <br />25.00 <br />20.00 <br />154.74 <br />7.00 <br />State <br />FL. <br />25.31 <br />.._.. - 89;28-- - <br />45.13 <br />25.56 <br />$ 427.02 <br />of Revenue has complied with the revenue laws of tha Stat e'`of Nebraska in the determination of the <br />fled to pay the amount due after demand. If this Nuke of State Tax Lien is an extension of an <br />the state's interest in the affected property of the t pa err. <br />Revenue Agent <br />Title <br />Senior Revenue Agent <br />Title Date <br />-2002 Supersedes 44841874 Rev. 10-1885 <br />Zip Code <br />32244 <br />241.74 <br />402 471 -6067 <br />Telephone Number <br />3-4 <br />2005 /005 <br />