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Dec, 12. 2014 3:19PM NE Secretary of State - UCC <br />STATE TAX LIEN o NEBRASKA DEPARTMENT OF LABOR <br />■ ORIGINAL <br />Federal [D No. / SSA No.: <br />This State TBx Lien is issued Boy uupe id combined tail (Nib Rev, Slat U411.657 aid 48-664) or payments in tiw of contributions (Neb. Itev, Star. §46- 660.01) pmtvmr to <br />the Uniform State Tax lien Registration & Enforcement Ant (Neb. .Rev. Sat 677 -3901, at seq.). Notice b given that combined tree Or Minute iu beu Of c ntdbudiont, <br />interest (computed at 1.5% per month). and penalties ere due from this employer or person end ..remain unpaid after demand. These combined taxes or payments in lien of <br />eontcibutier s maltase a lien far4ny end etl personal property toadied property in the oosntyfnounties mead, belonging to the employer o.petson, whether Pow owned or <br />hereafter acquired. <br />fe i " <br />Qtr: 1Yr. <br />4/2012 <br />1/2013 <br />Employer or <br />Liable Person: Aces & Eights LLC <br />Address: 313 High Street Cairo NE 68824 <br />NDOL Seri e' No.: 1 LAB-0221-2014 To be filed with the R Later of Deeds in the folfowi i Counties: <br />Hall <br />NDOL Acct. Na: 1 0328859008 <br />30- 0490029 _ <br />Date Assessed <br />1/2012 10/15/2014 <br />2/2012 ' 10/15/2014 <br />3/2012 10/15/20.14• <br />10/15/2014 <br />10/15/2014 <br />Bute: December 12, 2014 <br />T;IUOCUX NTSIFORI ALienslOriginal head= <br />co, eras 94608 <br />Combfaed Tax Or Payment In Lien <br />.: •: OL htributions hue <br />Linage, NE 6E09 <br />80.00 <br />$0.00 <br />. $0.00 <br />$81.45 <br />1107.11 <br />TOTAL Combined Tu or Payment In Use of Contributions Due (under this Yen only): <br />Penalty <br />F Woe - BCC 5T- <br />NE r,.- d 5isk6 Jahn I <br />I. 1 <br />99t474 Pes: <br />p�� & EI LLG <br />FIt edf 12 121 14 e2:•9 P71 <br />NDOL Ofiisce of Legal Counsel <br />P.O. Box 94600 <br />Lincoln, NE 68509-4600 <br />Telephone - (402) 471 -9912 <br />FAX - (402) 471 -9917 <br />Interest <br />Through <br />12/11/2014 <br />$0.06 • $4$.38 <br />m: <br />No. 8167 P. 3 <br />Subtotal <br />$ 48.38 <br />1188.14 • <br />$ 118.67 <br />$31.16 $ 163.27 <br />$ 0.00 <br />$. 0.00 <br />$ 0 -00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />• 8 650.99 <br />I certify that the Nebraska Department of Labor bas complied with the Employment Security Law of the State of Nebraska in the <br />determination (Idle amount due, and the employer or person has failed to pay the amount due after demand. <br />JOHN IL ALBIN <br />Acting Commissioner of Labor <br />THOMAS A. marina, a, Legal Counsel <br />KATIE S. TH RBEE, Legal Counsel <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br />