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TRX <br />Program <br />TaX Period <br />DOM el <br />Assessment <br />Tax <br />P9Aatty <br />_ _ _ <br />Interest <br />Gosh <br />Total Due <br />Sales <br />08101/2010 <br />08/31/2010 <br />43/14/2014 <br />2,710.57 <br />271.06 <br />407.26 <br />3,388.89 <br />Sales <br />10101/2010 <br />01131/2011 <br />03114/2014 <br />8,668.07 <br />866.82 <br />1.184.39 <br />10,719.28 <br />Sales <br />08/01/2011 <br />05131 /2012 <br />03/14/2014 <br />9,288,11 <br />1,273.48 <br />811.20 <br />11,380.79 <br />Sales <br />07/01/2012 <br />08/31/2012 <br />03/14/2014 <br />0.00 <br />61.40 <br />0.20 <br />61.60 <br />Sales <br />10/01/2012 <br />11/3012012 <br />03/14/2014 <br />786.85 <br />139.98 <br />33.32 <br />960.15 <br />Sates <br />01/01/2013 <br />02/26/2013 <br />03/1412014 <br />0.00 <br />50.00 <br />0.04 <br />50.04 <br />Total <br />26.560.75 <br />Mar,28. 2014 3:08PM NE Secretary of State — UCC <br />lato <br />Nebraska Department of <br />REVENUE <br />Thls Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes administered by the Tax Commissioner. Taxes, <br />including penalties, interest, and *oats, which are shown below, are due <br />from the taxpayer and remain unpaid after demand. These taxes are a <br />lien for all property located in the county and rights to property owned by <br />the taxpayer or acquired before the expiration of this lien. This Ilan w11 <br />expire and become unenforceable 10 years after the date of recording <br />if no continuation statement is recorded on or prior to the expiration of <br />the previous lien or continuation statement <br />Nebraska 1 tuber <br />10155511 <br />Lien Serial Number <br />Date of Lien <br />03124/2314 <br />I certiy that the Nebraska Department of Revenue boa complied with the less of the Skate of Nebraska >n the determining the amount ahowe <br />to be due, and that the taxpayer has failed to pay the amount due after demand. This Notice of State Tex lien is an efteotive lien and serves <br />to continua the prioriIY the 6tale's interest In}l1e effected property of the taxpayer. <br />sign* reperer's Ignature <br />- r hit <br />hero <br />B USINESS NAME AND LOCATION ADDRESS <br />Lien Type <br />®Original DContlnuation <br />Notice of State Tax Lien <br />Federal ID Number <br />ion Filed kh ISooiel Security Number <br />Register of Deeds Deounty Clerk XXX -XX -6064 <br />❑Corrected <br />Revenue Agent <br />'nee <br />Revenue Senior Agent <br />Tide <br />PLEASE DO NOT WRITE IN THIS SPACE <br />County <br />HALL <br />TAXPAYER NAME AND MRAILINO ADDRESS <br />RICHARD D. WISEMAN <br />103 BEACHWOOD DRIVE <br />GRAND ISLAND <br />Date <br />46 3 �c EE 514ie Jahn F G.t• - t1Ct STL <br />ii <br />III <br />'11 <br />`I <br />9914732950.-4 _..�_ Pet; 1 <br />WISEMAN RIC/11;n <br />Filed: 03/21312014 11:6$ pit <br />201 401 744 <br />Spouse's Social Security Number <br />NE <br />No. 4021 P. 3 <br />4491.1974 Rey. 81019 Supersedes 4.4941974 Rev. 2-2002 <br />68803 <br />402 471 -6067 <br />Phone Number <br />3 - 2fo <br />Date <br />r <br />