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Tax <br />Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penally <br />Interest <br />Costa <br />Total Due <br />Sales <br />03/01/2012 <br />08)3112013 <br />11/27/2013 <br />2,946.91 <br />553.05 <br />238.97 <br />3,738.93 <br />Sales <br />11101/2013 <br />11/3012013 <br />32014 <br />0.00 <br />0.00 <br />1.13 <br />1,13 <br />Sales <br />1 3 <br />12)3112013 <br />03/0312014 <br />0.00 <br />60.77 <br />1.55 <br />62.32 <br />Total <br />3,802.38 <br />Jun.11 2414 2:35PM NE Secretary of State — UCC <br />Nebraska Department of <br />REVENUE <br />Nebraska ID Number <br />11241519 <br />Lien Sena! Number <br />//y33"",2 / 9 <br />Date of Lien <br />05/16/2014 <br />sign <br />here <br />Lien Flied With <br />El <br />Uen Type <br />U ,INESS NAME AND LOCATION ADDRESS <br />gesture 'rile <br />201403538 <br />Notice of State Tax Lien <br />This 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 penelties, interest, and costs, which are shown below, are due <br />from the taxpayer and remain unpaid after demand. These taxes are a <br />lien for ell property located In the county and rights to property owned by <br />the taxpayer or acquired before the expiration of this flan. This [hut will <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 />!Ire <br />Register of Deeds ❑COUnty Clem <br />Original QContinuatio <br />Revenue Agent <br />Federal ID Number <br />Social Security Number <br />Corrected <br />lie onus Oonior <br />PLEASE DO NOT WRITE IN THIS SPACE <br />45- 4535711 <br />county <br />Hall <br />The Party Hut LLC <br />920 N. Diets Ave. Ste. 2 <br />Grand Island <br />il <br />No. 5266 P. 2/5 <br />NE Sir ��4s 0 rr in - V[[ 5iL <br />154.4a <br />I 14 <br />9914737323 -0 Pas: 1 <br />DM PARTY miff LLC <br />Filed: eS11312a14 01:15 PM <br />Spouse's Social Security — <br />TAXPAYER NAME AND MAILING ADDRESS <br />Ne. <br />certify that tha Nebraska Department of Revenue has complied with the laws of the State of Nebraska in the detenninino the amount shown <br />to be due, and that the taxpayer has felled to . = the amount due cider demand. Tnie Ne lice of State Tax Lien 10 an effective Tien and senses <br />to continue the the States i ;p1 a affected property of the taxpayer. <br />68803 <br />Prone number <br />402 47167 <br />Dare <br />4494.1974 14ev. - 20135urwnWse 4-04-1974 Nov. 22002 <br />