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Tax <br />_ <br />Detegory <br />Tax Period <br />Date of <br />Amount of Tax <br />Penalty <br />Intelsat <br />Addition* <br />Balance of <br />Number <br />Assessment <br />Assessment Due <br />F <br />2014 2:39PM NE Secretary of State — UGC No. 3365 P. 2 <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 />9154701 <br />Lien Serial Number <br />1i125 9, <br />Date of Lien <br />Business Name <br />Street Address <br />City <br />21 <br />sign <br />hero <br />02/1012014 <br />P r• <br />Preparer'a Signature <br />Signals <br />BUSINESS NAME AND LOCATION ADDRESS <br />07/01/2012 05/10/2013 <br />09/30/2012 <br />20140 <br />'er be a 17,es J, IN 1rr rrt e� <br />REVENUE NOTICE OF STATE TAX LIEN <br />w..�+�.u.•rsrr r..x r.,' r. vev <br />Lien Filed With <br />Federal Idenli <br />Register of Deeds [] Counly Clerk <br />Lien Type <br />Original DConhinuallan OCorrected <br />Name <br />STEVEN E. MEYER <br />Sired or Other Mailing Address <br />4156 IOWA AVE <br />state Zip Code <br />321.50 <br />City <br />Revenue Agent <br />Title <br />Revenue Senior Agent <br />Title <br />GRAND ISLAND <br />60.36 <br />LRR IRII'III nr1n R 6.1a - (ICC I L <br />11 <br />99147ae732-0 Pe.: 1 <br />MEYER STEVEN <br />Filed: 00/18/2014 10:44 RM <br />PLEASE DO NOT WRITE IN THIS SPACE <br />cation Number <br />84- 1643846 <br />Social Security Number <br />XXX -XX -8188 <br />County <br />HALL <br />Spouse's Social Security Number <br />TAXPAYER NAME AND MAILING ADDRESS <br />State <br />NE <br />Zip Code <br />68803 <br />TOTAL <br />13.41 <br />I hereby cart' That the Nebraska Department Revenue has compiled with the revenue laws of the Slate of Nebraska In the determination of the <br />amount shown to be due, and the taxpayer has failed to pay the amount due alter demand. If this Notice of State Tax lien is an extension Of an <br />effective lien, it se l 5 to continue the pdo of the slate's interest in the affected property of the taxpayer. <br />Dale <br />402 471 -6067 <br />Telephone Number <br />Date <br />4-151 -1274 Rev. 2.2002 Supereeuae 4-494 -1974 Rev. 10.1999 <br />415.29 <br />$ 415.29 . --- .., <br />