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Tax <br />Plop= <br />Tee Period <br />Deis al <br />Amassment <br />TM <br />Interest <br />Costs <br />Totes Due <br />Individual <br />2006 <br />09113/2012 <br />315.0D <br />22.45 <br />91.51 <br />488.90 <br />Total <br />$48496 <br />Apr, 21, 2015 3:51PM NE Secretary of State — UCC <br />201502477 <br />weerrwa Darsertmsnt u( <br />REVENUE <br />This Notice of Slate Tax Lion is issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Comrnisslottern Tana, Inc1uceng penalties, interest, and costs, <br />which are :drawn below, are due from the taxpayer and remain <br />unpaid after denrand.These taxes area lien for aN property located <br />In the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this ien. This lien +Mill expire and <br />become unenforceable 10 years after the date of receding if no <br />continuation Statement is recorded on or prior to the expiration of <br />the previous lien or continuation statement. <br />Nubia*" O Number <br />95102087 <br />Lien Serial Narita Limn Rod Wilt <br />11550140 ri2 iffier d oeed. :I County ° <br />eof IJen <br />lien TYPE <br />04/1720 ® Odom <br />Business Name and Location Address <br />sign <br />here <br />FUAAII H HIPSI <br />2808 CHANTICLEER ST APT F <br />GRAND ISLAND NE 68801 <br />Notice of State Tax Lien <br />Federal Li Number <br />Social Security Number <br />XXXXX4i191 <br />°Continuation QCer:eaed <br />I entry diet rN Mekmeha Deportment of heron■ h.a meplad wib Ni. bee d he Gate of Nohreeke in determining he would siwwn to be du., <br />ani am Employ' /ma fad to par gla Eonapra deu yew *mem, Thiu Nom at Saala lax Ilan la an adhadva Ian and menus lo mown ha Meaty of <br />IrtO 11119189111 user a IMI , . I : Of ma rexpaysr. <br />Revenue Anent <br />rr. <br />Revenue Supervisor <br />Tile <br />No, 0451 <br />lex sr- <br />1111 <br />Pea: 1 <br />PM <br />HE sac er Stria Bohr n cane <br />5s -9 <br />lied 04121 01:41 <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />PLEASE DO NOT WRITE El TNISSPACE <br />Spouse's Social Security Number <br />comp <br />HALL <br />Taxpayer Name and Netting Address <br />P, 5 <br />0411712015 1301112.01. <br />Hats Phan. Number <br />04/17/2015 <br />Dele <br />a.1+111apar bapletIpaasea4. ne.IreI1as <br />