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Tax <br />Program <br />Talc Parted <br />Aa na eeti • <br />Tax <br />Penalty <br />lnte s:a <br />Code <br />Total Due <br />individual <br />2013 <br />05/20/2014 <br />309.00 <br />15.45 <br />0.85 <br />331.28 <br />-- Total <br />$331.28 <br />Jan. 13 2015 3:53PM NE Secretary of State - UCC No, 8672 . P. 2%3 <br />Nebraska Osperanent of <br />REVENUE <br />This Notice of Slats Ttec Lion is issued by the Nsbresku <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes, indudng penalties, interest, end coete, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand.These taxes em s 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 Ian will expire and <br />become unenforceable 10 years after the date of recording if no <br />conlinuatlon statement Is recorded on or prior to the explrstfon of <br />the previous lien or continuation statement. <br />Nebrael a ID Number <br />98902644 <br />Lien Serial Nadas <br />11545325 <br />Date al Lien <br />01/09/2015 <br />sign <br />here <br />Notice of State Tax Lien <br />Lien Fled Wilk <br />Raging of Died ❑caul* calk <br />Use Tsw: <br />rig alight <br />Business Name and Location Address <br />Tile <br />muse DO NOT WRITE IN TNSS SPACE <br />Federal ID Number <br />Soot anWtr mibur <br />XXX U 4183 <br />❑ C onrendee ❑eateeeed <br />Taxpayer Neale and Yelling Address _ j <br />JANA HERS! <br />415 $ CHERRY ST <br />GRAND ISLAND NE 68801 <br />catty Ihel the Nebraska and tpd Wed to pity no wands 8� sampled WM the IPA NNow d I*e heft wen e f�dd * nes amount col a e� a <br />the$„ Aided nIle plaperry the layer. <br />Revenue Aeenl <br />Ter <br />Revenue Supervisor <br />Daddy <br />f1AU <br />K es K Geis .1.1... el cal. -ucc <br />0015747524 -0 POs; <br />FERSI Jp7R <br />Piled; 81113!2015 04:68 Pr <br />apnoea Sapid Security Number <br />201 600278 <br />(402)471.0043 <br />Phew Number <br />01109/2015 <br />Dela <br />449440 Rw. e-eild Se secs 44494/74 flw ZQe <br />SSL <br />1 <br />