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Tax Program <br />Tix Period <br />AS�M1 of <br />u <br />Thu <br />Penalty <br />Interest <br />Cvats <br />DO <br />Rats o <br />individual <br />2012 <br />06/0312013 <br />362.00 <br />42.32 <br />20.63 <br />424.95 <br />Total <br />$424.95 <br />May, 5, 2014 3:51PM NE Secretary of State — IJCC <br />Meb,..l�.. D.pea,Atlnt.( <br />REVENUE <br />sign <br />here <br />Business Name and Location Address <br />201402692 <br />Notice of State Tax Lien <br />This Notice of State Tax Lien Is Issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Cammiealoner. Taxes. including penalties, interest, and costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand,These faxes are a lien for all property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this IIen.Thia Ilan will expire and <br />become unenforceable 10 years after the date of recording If no <br />continuation statement Is recorded on or prior to the expiration of <br />the previous lien or continuation statement. <br />Nebraska f0 Nuuflller <br />28807154 <br />•. LWn Said Number Lin Filed VAR <br />11432947 N Flegieler of Dade ❑ * Cie <br />Oats of um Lien type: • <br />04/23/2014 N NOM ❑ rio1 <br />Tap <br />PLEASE DO NOT WRITE Pi THIS SPACE <br />Federal lc Numhe, <br />Soda) seamy Nwaher <br />XXX- XX-0721 <br />ocorreaad <br />Taxpayer Warns and Mailing Addreaa <br />WILLIAM D STAHL <br />4249 ARIZONA AVENUE <br />GRAND ISLAND NE 68803 <br />Revenue Agent <br />Tl4 <br />Revenue gupervlsor <br />No. 4654 P. 7/7 <br />et Soe a1 54s'e A m flea l■ - 1CC STI. <br />111111 <br />g147352U4 -6 Fos; <br />5 /ANL WILLIAM 0 <br />Filed' 11510612514 83:02 PM <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4509 <br />Santee%Swaal Security Narita <br />oaIN <br />HALL <br />I adllh that lie P braska 4GpartdHN at %anus ha remplad wlh be laved era Bate of Nebraska m determining I e amount drone lobs dub, <br />and Mel the lacpyer tins bled to pep the waaedue alter demand. Tide Noses el Salo Tex llln le an stadia lien and Noma to aechau the Amway at <br />the &day inlayed In the • PieP•mir d IM <br />Adr j lIrlr <br />(308)6324203 <br />Dote Phone <br />4144.1514 nee 04013 OulnoOndo a-94a-lea 8a 2Ra0Q <br />