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201502780
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Last modified
5/4/2015 9:01:06 AM
Creation date
5/4/2015 8:48:10 AM
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DEEDS
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201502780
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NDOL Serial No.: <br />LAB- 0090.2015 <br />To be Bled with the Register of heeds in the following Counties: <br />NDOL Acct. No.: <br />0334798002 <br />Hall <br />2/2014 <br />4/10/2015 <br />Federal ID No. I SSA No.: <br />20- 3414035 <br />$169.00 <br />$1,448.07 <br />3/2014 <br />Qtr. / Yr, <br />Date <br />Combined Tax Or Payment In Lieu <br />Of Contrtbations Due <br />Penalty <br />Interest <br />Through <br />4/25/2015 <br />Subtotal <br />2/2014 <br />4/10/2015 <br />$1,279.07 <br />$0.00 <br />$169.00 <br />$1,448.07 <br />3/2014 <br />4/10/2015 <br />$232.69 <br />$0.00 <br />$20.19 <br />$ 232.88 <br />$ 0 -00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />TOTAL Combined Taut or payment in Lieu of Coutnbutions Doe (wader this lien only): <br />- $1,700.95 <br />May. i. 2015 2:53PM NE Secretary of State — UCC <br />201502780 <br />STATE TAX LIEN 4 NEBRASKA DEPARTMENT OE LABOR <br />w ORIGINAL <br />ilia A NC If 'Ne, 0'586 car 3/4 <br />1111 <br />9915753425 -0 Pans: 1 <br />Meth EU inc. :BZ An <br />NDOL Office of Legal Counsel <br />P.O. Boa 94600 <br />Liur„oln, NZ 65509 -4600 <br />Telephone - (402) 471 -9912 <br />PAX - (402) 471.9917 <br />Employer or <br />Liable Penns, Wheatware USA far, d/b/a Wheatware <br />Address: 15151? 4d St. Grand Island NE 68801 <br />This State Tax Lim is issued for unpaid combined hoes (Neb. Res. Sts. § §4$ -657 and 48- 664) or payments to lieu of ccetz cum (Neb. Rev. Star. 148-660.01) pursuant to <br />the Uniform State Tex Lies Registration & Dement Act (Neb. Rev. Sleet. *77 -3901, cr seq.). Notice is form that combined taxes or payments in lieu of contributions. <br />gamest (oowpoted m 1.5% per tnoath), sad rookies are due from this employer or person end romain unpaid alter demand. Mao cxxabbard tares or payments to lieu of <br />oonuibutioes abatitle a lion for say and all personal property and real property is the couatylcounuer named, belonging In the employee or person, whether now owned or <br />bocce= acquired. <br />I certify that tie Nebraska Department of Labor has complied with the Employment Security Lase of the State of Nebraska in the <br />determination of the amount due, and the employer or person has failed to pay the amount due alter demand. <br />JOBN H. ALBIN <br />Commissioner of Labor <br />. d <br />Date, May 1 <br />T:sDOCUMENV J <br />By <br />THOMAS A. UKINSIO, Legal Counsel <br />KATIE S. Tuvomst, Legal Counsel <br />RETURN FILED corm TO; Nebr. Dept. of Labor - LEGAL NEmR. Derr. or Lisboa <br />P.13.0•194600 CHARGE ACCT. #14765 <br />Lincoln, NE 68509-4500 <br />
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