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Tot program <br />Tax Period <br />Datt of <br />Assessment <br />Tax <br />Penalty <br />Inter at <br />Costs <br />Total Due <br />Sales <br />10/01/2012 - 12/31/2012 <br />03/01/2013 <br />.00 <br />240.89 <br />73.27 <br />.00 <br />314.16 <br />Sales <br />01/01/2013 - 01/31/2013 <br />05/0112013 <br />256.80 <br />218.56 <br />41.67 <br />.00 <br />517.03 <br />Sales <br />02/01/2013 - 0228/2013 <br />05/01/2013 <br />384.00 <br />128.07 <br />32.99 <br />.00 <br />545.06 <br />Sales <br />03/01/2013 - 03/31/2013 <br />05/01/2013 <br />891.40 <br />89.14 <br />41.69 <br />.00 <br />1,022.23 <br />Sales <br />06/01/2013 - 06/30/2013 <br />09/03/2013 <br />.00 <br />65.68 <br />.97 <br />.00 <br />66.65 <br />Sales <br />09/01/2013 - 09/30/2013 <br />11/01/2013 <br />769.00 <br />76.90 <br />24.41 <br />.00 <br />870.31 <br />Sales <br />10/01/2013 - 10/31/2013 <br />12/02/2013 <br />762.90 <br />76.29 <br />22.24 <br />- <br />.00 <br />861.43 <br />Sales <br />11/01/2013 - 11/30/2013 <br />01/02/2014 <br />812.45 <br />81.25 <br />21.70 <br />.00 <br />915.40 <br />Sales <br />12/01/2013 - 12/31/2013 <br />02/03/2014 <br />1,591.45 <br />.00 <br />38.42 <br />.00 <br />1,629.87 <br />Sales <br />01/01/2014.01/31 /2014 <br />03/03/2014 <br />886.91 <br />88.69 <br />19.18 <br />.00 <br />994.78 <br />Total <br />7,736.92 <br />This Notice of State Tax Llen is Issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes, including penalties, interest, and costs. <br />which are shown below, are due from the taxpayer and remain <br />unpaid after delnand.Theeo taxes are a lien for di property located <br />. Iri the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this lien. This lien 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 />PLEASE DC NOT WRITE 'NUM SPACE <br />Nebraska ID Number <br />11326085 <br />Federal ID Nastier <br />454756448 <br />Lien Serial Number <br />11490041 <br />Lien Hied Wilt: <br />Social Security Number <br />Spouse's Social Sourly Number <br />pi Register et Deeds ❑ Courtly ctera <br />Date el Lien <br />November 10, 2014 <br />Lion Type: <br />❑ Comae <br />Gwnty <br />]f1 UL <br />■ <br />1 Original ❑ Cenere aion <br />orb <br />Nov. 20. 2014 3:30PM NE Secretary of State - UCC <br />Nebraska oeperkn■nt or <br />REVENUE <br />Business Name and Location Address <br />TRADE SECRET 7735 <br />3404 W 13Th ST STE A -8 <br />GRAND ISLAND NB 68803 <br />sign <br />here z,a 5411 , re <br />AtWio ,9gnature <br />201407349 <br />Notice of State Tax Lien <br />Revenue Agent 11/17/2014 <br />ml. Wde <br />Revel ue S enior Agent <br />Tine <br />No. 7803 P. 8 <br />55 <br />low of 64.i- John C Lee - UCC STL <br />i I <br />, <br />51 <br />99147441111 Pia: 1 <br />PURE 9ERUTY INTERNATIONAL INC <br />Filed; 11/29!2@14 19:22 RN <br />Taxpayer Name and Mailing Address <br />PURE BEAUTY INTERNATIONAL 1NC <br />3762 14Th A STE 200 <br />MAR H M ON L3R 0G7 <br />CANADA <br />I wAny Sal eke Nebraska Depanreent o1 Revenue has oonplod rah The lava et ire Oat d Nabreeke In defemrinIng the ammo woe le tie due, <br />and that tear hie tailed to wawa! due afterdemand.Thirs Nolte* or Stale Tat Lien * sac *MO* Iles end seems W Week* tie OnOrty or <br />the 3yeWi rase in Me affected Or the laapayer. <br />402 - 471-6067 <br />Phone Number <br />if -AP-IV <br />twee <br />44 a4.101 4 >1w,i -ZQlC Supenales 4419-1974 Per.2-2002 <br />