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• <br />Qtr, / Yr. <br />Date Assessed <br />Combined Tax Or Payment In Lien <br />Of Contributions Due <br />Penalty <br />Interest <br />Through <br />4/9/2014 <br />Subtotal <br />1/2013 <br />3/25/2014 <br />$428.77 <br />$0.00 <br />$85.24 <br />$ 514.01 <br />2/2013 <br />3/25/2014 <br />$2,875.70 <br />$7627 <br />$35727 <br />$3,309.24 <br />3/2013 <br />3/25/2014 <br />$2,999.25 <br />$0.00 <br />. $23658 <br />$3 ,235.83 <br />4/2013 w <br />3/25/2014 <br />$1,526.78 <br />$0.00 <br />$51.18 <br />$1,577.96 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />• <br />$ 0.00 <br />TOTAL Combined Tax or Payment in Lieu of Contributions Out (trader this lien only) <br />$$,637.04 <br />oY) <br />A 24, 20/4 3:42PM NE Secretary of State — UCC No 4464 P. 2/6 <br />STATE TAX LIEN ❑ NEBRASKA DEPARTMENT OF LABOR <br />U ORIGINAL <br />Employer or <br />Liable Person: Wheatware USA Inc. dba Wheatware <br />Address: 1515 E. 4 St. Grand Island NE 68801 <br />Date: X24,2014 <br />T:1DOC NT'CSW0RMSPLierslOrigintilliea .doer <br />RETURN FILED COPIES TO Nebr. Dept. of Labor - LEGAL <br />P.O. Box MOO <br />Lireobr, NE 69509 -I600 <br />II III <br />20140244 <br />KR tae of Si.■ Jahn a 6.1. - lied STL <br />IIII 'I <br />I II ,l <br />99147345$8■7 Pea: 1 <br />FFUed: 04/24,20/4 A'NG• 10:52 An <br />JOHN IL ALBIN, Agency dal Counsel <br />THOMAS A. ITIONSICI, Legal Counsel <br />KATIE S. BALTENSPERGER, Legal Counsel <br />IDOL Office of Legal Counsel <br />P.O. Box 94600 <br />Lincoln, NE 68509 -4600 <br />Telephone - (402) 471 -9912 <br />FAX - (402) 471-9917 <br />NDOL Serial No.: I LAB- 0078-2014 To be filed with the Register of Deeds in the following Counties: <br />NDOL ActetTICZ:"1 0334798002 Hall <br />Federal ID No. / SSA No.: 120- 3414035 <br />This State Tax Lien is issued for unpaid combined taxes (Nab. Rev. Stat. §148 -657 and 48-664) or payruems in lieu of contributions (Neb. Rev. Stag 148 - 660.01) puisu ant to <br />the Un1ffirm S tore Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. 177.3901, et seq.). Notice is given that combined tars or payments in lieu of contributions, <br />interest (computed al 1.5% per month), and penalties are due from this employer or parson and remain unpaid ruler demand. These combined taxes or 'maims in lieu of <br />contributions ctmstitnte a lien tor any and all persatual property and real property in the county /counties nand, belonging to the employer or person, whether now owned or <br />hereafter acquired <br />I certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska in the <br />. determination of the amount due, and the employer or person has failed to pay the amount due after demand. <br />CATHERINE D. LANG <br />Conml9 r of Labor <br />NEBIL DEPT. OF LABOR <br />CHARGE ACCT. #1.4 5f• <br />