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This Notice of State Tax Lien is issued by the Nebraska <br />Revenue for unpaid taxes pursuant to the revenue laws <br />Nebraska. Notice is hereby given that taxes including penalties <br />interest, which are shown below, are due from the taxpayer <br />below and remain unpaid after demand. These taxes constitute <br />In the county for real and personal property belonging <br />or hereafter acquired. <br />Department of <br />of the state of <br />and <br />specified <br />a lien <br />to the taxpayer <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska Identification Number <br />29491983 <br />Federal Identification Number <br />Lien Serial Number <br />11323829 <br />Lien Filed With <br />County Clerk <br />Social Security Number <br />XXX -XX -0765 <br />Spouse's Social Security Number <br />3 Register of Deeds • <br />Date of Lien <br />03/25/2013 <br />Lien Type <br />Couny <br />HALL <br />it Original • Continuation II Corrected <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER AND MAILING ADDRESS <br />SHANE C REDWINE <br />4152 HARTFORD Si <br />GRAND ISLAND NE <br />Tax <br />Category <br />Number <br />Tax Period <br />Date of <br />Assessment <br />Amount of Tax <br />Penalty ` <br />Inte gst <br />Additions <br />Balance of <br />Assessment Due <br />22 <br />2007 <br />09/18/2012 <br />2,163.00 <br />793.50 <br />08.69 <br />' <br />3,765.19 <br />4 <br />TQT4L <br />, r . <br />a <br />$ 3,765.19 <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination of the <br />03/26/2013 TUE 15:03 FAX 402 471 4429 UCC SECRETARY OF STATE <br />of) <br />amount shown to be due, and <br />effective lien ' se - to co tin <br />2013023"7. <br />Nebraska Department of <br />REVENUE NOTICE OF STATE TAX LIEN <br />www.revenue.ne.gov <br />ed to pay the amount due after demand. If this N <br />states interest in the affected property of the taxp <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />Title <br />Hall Ij003 /007 <br />NE See <br />of Slate John R Ga e UCC STL <br />Pes 1 <br />10122 41M <br />9913711483 - 6 <br />REDWINE'SIIRNE C <br />Filed: 03/26/2013 <br />Sate Tax Lien is an extension of an <br />a id/ 3 (402)471 -5731 <br />Telephone Number <br />/3 <br />Date <br />4. 494.19141 tv 2 -2002 Supersedes 4. 494.1974 Rev. 10.1995 <br />