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Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Withholding <br />10/01/2009 -12131 /009 <br />03/24/2013 <br />.00 <br />263.37 <br />1227 <br />100.00 <br />375.64 <br />Withholding <br />01101/2011- 06/30/2011 <br />03/2412013 <br />7.985.30 <br />924.37 <br />1,191.16 <br />.00 <br />10,100.83 <br />Withholding <br />0710112010.12/31 /2010 <br />03/24/2013 <br />9,100.00 <br />3,185.00 <br />1,618.69 <br />.00 <br />13,903.69 <br />Total <br />24,380.16 <br />This Notice of Slate Tax Lien is issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes, including penalties, interest, and costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand.These taxes are a 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.Thle lien win expire and <br />become unenforceable 10 years after the date of recording if no <br />continuation statement is recorded on or prior to the expiration of <br />the previous lien or continuation statement. <br />PLEASE DO NOTWAnE INTHIS SPACE <br />Nebraska ID Number <br />9812989 <br />Federal ID Number <br />204973399 <br />Lien Serial Number <br />11592492 <br />uen Fled WHIT <br />Sedel Society Number <br />gxx_]J 527 <br />Spouse's Sail Seduray Number <br />i7 Register of Deeds ■ County Clerk <br />Date of Lien <br />April 29, 2015 <br />Lien Type: <br />❑Corrected <br />County <br />HALL <br />11 Orlyinl ❑Continuation <br />Jun. 4, 2015 3:45PM NE Secretary of State — UCC No. 1146 P. 6/6 <br />!r se../ Se.*. Jeer • weir Wu Sn <br />rlebreaw Daperknatt of <br />REVENUE <br />Business Name and Location Address <br />201503'721 <br />Notice of State Tax Lien <br />I eerily mat the Nebraska Dapsnmani of Raenue has eampied with the lira of ate Stale el Nebraekt In delerrllining the emotes shown le be due. <br />.^4 IR., e+. Wry....0 •e. .a• .r.rv..wt. Yh. 6, 44.4..1 . Tao. W. f• oft *O.Mr. e•n ...d •w..• �• ..nYnw M. prI b ..r <br />the = i' Watt in the Oleo ', erly of the taxpayer. <br />sign <br />here a' ,e i, <br />l�� $stun <br />- /s 402 -471 -6067 <br />Dale Phone / <br />nun Date <br />44194.10JI Rev.1.7)19 Supuime 4.{N1m 574 rue $ <br />' Revenue Agent <br />rue <br />Revenue 5etU r Agent <br />1111ts7564711 --7 ass <br />lFlli CRAIG L. 5;44 PN <br />Taxpayer Name and Mailing Address <br />CRAIG L. WHITE <br />201 N FIRST ST <br />DONIPHAN Ni; 68832 <br />