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Tax Program Tax Period Date or ASSassment Tax Penalty Interest COSta Total Due Withholding 12/31/2010 03/14/2014 03/14/2014 527.26 105.45 69,98 702.69 withholding 01/01/2011 12/31/2011 03/14/2014 2,953.85 255.86 294.07 3,503.78 Withholding 01/01/2012 09130/2012 03/14/2014 _ 2,509.19 536.33 168.42 3,213.94 Litter Fee 01/01/2008 06130/2012 03/1412014 34214 75.00 60.04 477.18 4 Total 7,897.59 Mar. 28 2014 3:07PM NE Secretary of State — UCC Nebraska Department of REVENUE This Notice of State Tarr Lien is issued by the Nebraska Department of Revenue for unpaid taxes administered by the Tax Commissioner. Taxes. including penaltios, interest, and coats, which are shown below, are due from the taxpayer and remain unpaid after demand. These taxes are a lien for all property located in the county and rights to properly owned by the taxpayer or acquired before the expiration of this lien. This lien win expire and become unenforceable 10 years after the date of recording if no continuation statement is recorded on or prior to the expiration of the previous Ilon or continuation statement Nebraska ID Number 10155511 era r l/y 3/ Are 'bate of Lien 03/24/2014 BUSINESS NAME AND LOCATION ADDRESS Notice of State Tax Lien Federal ID Number Lien Filed With EX Register of Deeds ElCouny Clerk Lien Type ®Original QContlnuadon OCorrected sign - er's Signature here t i r Revenue Senior Agent thoruzed Signature Title Title PLEASE 00 NOT WRITE IN THIS SPACE Soda Security Number XXX- XX-6064 County HALL TAXPAYER NAME AND MAILING ADDRESS RICHARD D. WISEMAN 103 BEACHWOOD DRIVE GRAND ISLAND No. 4021 P. 2 8914732949 -1 Pet; WISEMAN RICHARD D. Filed: 03/2012014 11135 AIM 201 401 743 Spouse's Soc at n 1 er NE I certify that the Nebraska bepanment of Revenue has complied with the laws of the State of Nebraska In the determining the amount shown to be due. and matte taxpayer has failed to pay the amount due after demand. This Notice of State Tax Lien is an effective Ilen and serves to continue the pf . the Stale's interest ii e effected property of the taxpayer. Revenue Agent Date 4. 490.1974 R+e 2.2013 SUPW aL1 4 Rev. 2 68803 402 471 -6067 Phone Number Date air Mar. 28 2014 3:07PM NE Secretary of State — UCC Nebraska Department of REVENUE This Notice of State Tarr Lien is issued by the Nebraska Department of Revenue for unpaid taxes administered by the Tax Commissioner. Taxes. including penaltios, interest, and coats, which are shown below, are due from the taxpayer and remain unpaid after demand. These taxes are a lien for all property located in the county and rights to properly owned by the taxpayer or acquired before the expiration of this lien. This lien win expire and become unenforceable 10 years after the date of recording if no continuation statement is recorded on or prior to the expiration of the previous Ilon or continuation statement Nebraska ID Number 10155511 era r l/y 3/ Are 'bate of Lien 03/24/2014 BUSINESS NAME AND LOCATION ADDRESS Notice of State Tax Lien Federal ID Number Lien Filed With EX Register of Deeds ElCouny Clerk Lien Type ®Original QContlnuadon OCorrected sign - er's Signature here t i r Revenue Senior Agent thoruzed Signature Title Title PLEASE 00 NOT WRITE IN THIS SPACE Soda Security Number XXX- XX-6064 County HALL TAXPAYER NAME AND MAILING ADDRESS RICHARD D. WISEMAN 103 BEACHWOOD DRIVE GRAND ISLAND No. 4021 P. 2 8914732949 -1 Pet; WISEMAN RICHARD D. Filed: 03/2012014 11135 AIM 201 401 743 Spouse's Soc at n 1 er NE I certify that the Nebraska bepanment of Revenue has complied with the laws of the State of Nebraska In the determining the amount shown to be due. and matte taxpayer has failed to pay the amount due after demand. This Notice of State Tax Lien is an effective Ilen and serves to continue the pf . the Stale's interest ii e effected property of the taxpayer. Revenue Agent Date 4. 490.1974 R+e 2.2013 SUPW aL1 4 Rev. 2 68803 402 471 -6067 Phone Number Date