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Progrerrt <br />Tax Period <br />Aa Dote tteni <br />Tex <br />Penalty <br />interest <br />Costa <br />Total Due <br />Individual <br />2009 <br />08109/2011 <br />2,52M9 <br />131-7 <br />438.82 <br />• 3,09428 <br />Total <br />$3,09428 <br />Feb. 20 2014 3:2$PM NE Secretary of State — UCC <br />tkparrbren l <br />REVENUE <br />This Notice of State Tax Lien is issued by the Nebraska <br />Department of Revenue br unpaid taxes administered by the TaX <br />Commissioner. Taxes, including penalties, interest, and costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand. These takes am a Ilen for all property located <br />in the county and rights to properly owned by the taxpayer or <br />acquired before this expiration of this lien.Thls Uan will expire and <br />become unenforceable 10 years after the date of recording it no <br />continuation statement is recorded an or prior tothe expiration of <br />the previous lien or continuation statement. <br />Nebraska ID Number <br />28501811 <br />Lien Serial Number <br />11429742 <br />Data of Can <br />02119/2014 <br />sign <br />here <br />Lien Flad t% <br />Register d Deeds ❑ County Clark <br />Lien Type: <br />® O,ipird ❑ COMMUMIOrt <br />Business Name and Location Address <br />igoel <br />201400979 <br />Notice of State Tax Lien <br />Revenue Agent <br />Tire <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Federal ID Number <br />Social 90aadty Nunhem <br />XXX -XX -0555 <br />❑ Crawled <br />Thb <br />Revenue Supervisor <br />MR $•e nr sf.ko Jaen p Sala • UGG STL <br />1111 111 <br />9914730966 -3 Pea : 1 <br />PLUGGE DANIEL R <br />F1lad, 02/28/2914 11:13 AM <br />Spawn Sccd Secretly Plumber <br />Gaudy <br />HALL <br />Taxpayer Name and Meili r Address <br />DANIEL R PLU3Gt: <br />914 S 15111 STREET <br />NORFOLK NE 68701 <br />No. 3427 P. 2 <br />I car Iy that the Made DepeTtnent Revenue has ccrnpred wah Ike lees of be Slab of animates in determining e+e amount shaver to be dew. <br />and that the imam tea tailed to pay law ar00mmt ails aler aemals,Tn13 Nonce 2l Sale Tu Lien le an dacha tan and eamvee to continue the p,tody of <br />are Steads ate in the affected property of <br />(402)471-6043 <br />PM1ne Number <br />Dale <br />4494-1074 Rev. 04010 800,0 4494 64041974 Rex 2 -2002 <br />