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Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Sales <br />09101/2011 - 09/30/2011 <br />02/02/2012 <br />.00 <br />.00 <br />1.51 <br />.00 <br />Sales <br />12/01/201! - 12/31/2011 <br />03 /01/2012 <br />.00 <br />.00 <br />.82 <br />.00 <br />.82 <br />Sales <br />03/01/2012 - <br />Sales <br />09/0 1/2012 1� 1 ! <br />1 t t 3 <br />/t <br />10 <br />tl <br />Sales <br />12/01/2012 - 12/3!/2012 <br />04 /01/2013 <br />.00 <br />.00 <br />.00 <br />_80 <br />03/01/2013 - 03/31/2013 <br />0$/0112013 <br />.00 <br />.00 <br />1.84 <br />.00 <br />Sales <br />07101/2413 - 07/3112013 <br />10/0212013 <br />19,524.24 <br />2,024.54 <br />.00 <br />09/01/2013 - 09/3012013 <br />01/02/2014 <br />.00 <br />76.30 <br />3.39 <br />.00 <br />79.69 <br />Sales <br />08/01/2013 •08/31/2013 <br />03 /03/2014 <br />.00 <br />74.30 <br />9.16 <br />.00 <br />83.46 <br />Sales <br />10 /01/2013 - 10/31/2013 <br />04/01/2014 <br />.00 <br />57.99 <br />532 <br />.00 <br />633I <br />Sales <br />11/01/2013 - 11/30/2013 <br />05 /01/2014 <br />.00 <br />69.52 <br />6.90 <br />.00 <br />76.42 <br />Total <br />24,061.85 <br />This Notice of State Tax Lien 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 demand.These taxes 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 lien. This lien will expire and <br />become unenforceable 10 years after the date of recording If no <br />continuation eMtement is recorded on or prior to the expiration of <br />the previous Tien or continuation statement. <br />PLEASE DO NOT WarrE in rtes SPACE <br />Nemesia ID Number <br />9663606 <br />Federal ID Number <br />470835635 <br />lien Serial Number <br />11489996 <br />Lien Fled NAte <br />Dacia Sootily Number <br />xxx_xx.043 <br />Spouse7t Social Security Number <br />P Regisbv of Deeds • County Clerk <br />Date of Lien <br />November 5, 2014 <br />Lien type: <br />all original ❑ Conlauatfon <br />County <br />HALL <br />■ Convected <br />Nov. 20. 2014 3:30PM NE Secretary of State - UCC <br />REVENUE <br />sign <br />here <br />Business Name and Location Address <br />,thonxe0 Sharman <br />201407350 <br />Notice of State Tax Lien <br />Revenue Agent <br />Tne <br />Revenue Senior Agent <br />Tide <br />DIANE SPAL LDING <br />PO BOX 5766 <br />GRAND ISLAND NE 68802 <br />No. 7803 P. 7 <br />1E 5rr of Skala John a er'tr - tr[C ITr. <br />091474 aS0 - Pee; 1 <br />Filed: f /2!!2014 10,22 AM <br />Taxpayer Ware and Melling Address <br />I certify trot the Nebraska Department of Revenue hen complied with the laws of the Stale of Nebraska In determining 111e amount Mown to be due. <br />and That the termer hes failed to pay Me amount due alter demand. Thin Noun of State Tax lien le an elective Ilan and 9ervea id cagoule the priority of <br />the Si ''s interest in me aleded gpapyrly of the Impart <br />402, -6067 <br />Phan Mutter <br />t/ - 1r -1y <br />Date <br />4484-1f1/4 Ray.8 2019 Suotitedet 4161.1971 Rot <br />