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To <br />Tex Period <br />Trot <br />Penalty <br />Inbred <br />Cased <br />Tbtal Drs <br />Individual <br />2011 <br />10113/2013 <br />541,00 <br />27.05 <br />48.26 <br />616.31 <br />Total <br />6616.31 <br />oto <br />Oct. 16 2014 2:42PM NE Secretary of State — UCC <br />REV ENUE Notice of State Tax Lien <br />This Notice of State Tax Lien i6 issued by the Nebraska <br />Department of Revenue for unpaid tastes administered by therm <br />Conunisslaner. Taxes, Including penalties, interest, and costs, <br />which are shown below; are due from the taxpayer and remain <br />unpaid altar demsnd.These taxes area lien for ell property busted <br />In the °aunty and rights to properly owned by the taxpayer or <br />acquired before the expiration of this 9en.Thls lien will expire and <br />become unenforceable 10 years after the date of recording l no <br />continuation statement is recorded on or prior to the expiration of <br />the previous lion or contintiegcn statement. <br />Mikado o Number <br />47063459 <br />Use fiend Number • <br />11441209 <br />Data Mien <br />1011412014 <br />sign <br />Lien wed Wile road Seemly harrier <br />I+rdaerof Deeds ❑ County Ora XXX•XX -0738 <br />®awl <br />Business Name and Location Address <br />WILLIAM MADHOR <br />118S VINE ST APT 7 <br />GRAND ISLAND NE 00501 <br />❑ Gettualon DOortacuid <br />Federal ID sorter <br />I carry that the Nehrads DePreure at Reverie hes co n lied ash Eta lr♦ve at 6w Side or Nehrerra b doe/Mang the motet shown in he ire. <br />we that the Whiled to Fey due deer demand. Tile Notre of Stab Tea lien lean e6erilve kn we genes Itr embus the pawky of <br />VA J1 ...A 1...4 ti <br />l'..' riZed Signatu Tape <br />Revenue Agent <br />PLEASE DO NOT WHITE INTIMS SPACE <br />rNa <br />Revenue Supervisor <br />WE Cow ai Sioie Jo n Gala . iCC 671 <br />Tt°Ipsyer Name and Ealing Michelle <br />No. 7175 P. 4/5 <br />11111 111111 <br />9914743354 -4 Pee 1 <br />NADIMIfr IOWAN <br />Filed: 1611612616 61:18 PS <br />r,souy <br />HALL <br />201406600 <br />Spawn Bail Security Number <br />/4 /: (4 02471 -5731 <br />Dale Phone Number <br />Dale <br />41141179 Rev. a aepeendm 44n 1174 fpwl400e \\ <br />1 <br />