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Nebraska Identification Number <br />21528306 <br />Federal Identification Number <br />Lien Serial Number <br />11324856 <br />lien Fled With <br />3 Register of Deeds l County Clerk <br />Social Security Number <br />XXX -XX -3265 <br />Spouse's Social Security Number <br />Date of Lien <br />11/18/2013 <br />Lien Type <br />WOriginal DC/affirmation [Corrected <br />County <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />v <br />TAXPAYER NAME AND MAILING ADDRESS <br />• <br />• <br />- -, <br />JOEL L KINPORT <br />1417 N WHEELER AVENUE <br />• <br />GRAND ISLAND NE 68801 <br />Tax <br />Category <br />Number <br />Tax Period <br />Date of <br />Assessment <br />Amount of Tax <br />Penalty <br />Interest <br />— <br />Additions <br />Balance of <br />Assessment Due <br />22 <br />2011 <br />05/09/2012 <br />1,082.00 <br />54.10 <br />67.17 <br />1,203,27 <br />• <br />TOTAL <br />$ 1,203.27 <br />,Nov, 22. 2013 2:06PM NE Secretary of State — UCC <br />201309242 <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, em due from.the,tmcpayer specified <br />below and remain unpaid after demand. These taxes constitute a Tien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />sign <br />here l• <br />avenue nt <br />I <br />Revenue Supervisor <br />Tide <br />;3 <br />No.2047 P. 2 <br />rte Soo of 54.4a John R 00 to • UCC STL <br />�II I I III �`I 11 1111 II <br />I <br />9913726288 -9 Pee: 1 <br />KJNPORT JOEL L <br />Fllsd: 11/22/2013 89:09 AM <br />Nebraska department of <br />REVENUE NOTICE OF STATE TAX LIEN <br />Www,rover,u .ne.gov <br />PLEASE DO NOT E IN THIS SPACE <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />Date <br />4.494 - 1974 Rev, 22902 Stipaseda 4-494-1974144V. 10-1995 <br />l oer I krl Deparbllent of Rev®nue here compiled Ith the revenue lower of Ifie State of Nebreslla in the detemrinalon of i <br />amount shown to be due, and the tat aver has failed to pay the amount due after demand. If tills Notice of Slate Tax Lien le an extermion of an <br />e f f e c ti v e lien, it s e r v e s to continue the . of < gate : intent in the affected property of the taxpayer. <br />► !��:�._ _ _� _ >�' (308)632 -121 <br />_ ^? .: r • Telapho j <br />