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_ T om e' <br />Tax Period <br />TaX <br />Penally <br />Interest <br />Celts <br />Tall Our <br />endkddual <br />9011 <br />00/2719019 <br />704.00 <br />70.00 <br />70.00 <br />007010 <br />Total <br />8007.15 <br />Jan, 20 2015 3:24PM NE Secretary of State — UCC No 8777 <br />Neb reeed Deoartmed o <br />REVENUE <br />This Note of State Tax Lien is Issued by the Nebraska <br />Department of FiWenue for unpaid elates administered by thsTax <br />commismoner. Taxes, maiming pommies, Interest, ana coats, <br />which aro shown below. are due from the taxpayer and remain <br />unpaid after demand. These taxes area Treater all property boated <br />In the oounty and Fichte' to properly awned by the buipoyer or <br />acquired before the wcpk811on of this Ilen.This lion will expire and <br />become unenforceable 10 years after We date of recording If no <br />continuation ataternent Is recorded on or prior to the expiration of <br />the previous Ilan or continuation statement. <br />NahmuYr Ib Number <br />43097022 <br />Lien Soma! Number <br />11.4 Tat <br />Date of L1e1 <br />011151Y015 <br />sign <br />here <br />13uainees Name and Location Address <br />Stprwure <br />2015004 3 <br />Notice of State Tax Lien <br />Urn Fried Mk <br />Regiller of 0e1011 0 bouncy Part <br />Tae <br />PLEASE DO NOT WRITE DIMS SPACE <br />Friend ID Number <br />Sods! Saorialy Number <br />XXX- XX -a40z <br />tlan <br />© odonei Q Conner u kn ❑ cwroAeu <br />WOL D MADUT <br />506W4T11ST APT 0 <br />RAN D;KANO NE 0801 <br />Revenue Agent <br />Revenue Supervisor <br />tlE Sac er State John M 61. - JCi STL <br />091tti747aB�x <br />Per 1 <br />NAOIR UOL D <br />Filed: 01129/Z015 02:43 PtI <br />Sporeot Sad Smut* Number <br />HALL <br />Taxpayer Name and Mailing Address <br />I May hat the Nd nde moil et Melanie has coupled alb be Iowa of be Slate at Winks in delarmariig he amount dim lobed* <br />and that ere tumor haa b pay (ha exeunt t due ester demand:fhb Nolte or sera Tar Lien b an e(fedhre Ilen end some I0 'motive he priority of <br />ha menace in the - property of the axrpayer. <br />01/1512015 (402)471.6043 <br />Due PhOne Number <br />0111512015 <br />Deis <br />4411 pesedos410.117411,41. <br />