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Thie Notice of Slate Taft Lien is issued by the Nebraake Department of <br />Revenue for unpaid teens pursuant to the revenue laws of the state of <br />Nebraska. Notice Is hereby given that tales Including penalties and <br />interest, which are shown below, are duo from the to payer specified <br />below and remain unpaid after demand. These kotes constitute a lien <br />in the county for real end personal property belonging to the taxpayer <br />or hereafter acquired. <br />PLIABE 00 NOT WRITE IN THIS SF ACE <br />Nebr eke Iden4Y atIun Number <br />40996905 <br />Fcdasl Idcn1hwtm Rumber <br />Lien Owlet Number <br />11036147 <br />lien Filed With <br />Reeidser of Deeds JCouny Clerk <br />Social $eoldly Number <br />)006X]0 --1483 Jf <br />Toasts rectal Serudly Notelet <br />Dale of L cn <br />02J11/2010 <br />Cron Typo <br />®orlpinal QCOrlanlletdrl oConede0 <br />i- ipi.J. <br />BUSINESS NAVE AND LOCATION ADDRESS <br />TAXPAYER NAPE AND BAILING ADOnEss <br />LARRY BEHRENS • <br />2323 BELLWOOD DR 95 <br />GRAND ISLAND NE 68801 <br />al <br />Calugwy <br />Number <br />Tea Paled <br />Rate of <br />Aswsemant <br />Amount of Tax <br />retain <br />lnbleat <br />Aediamn <br />Panne. of <br />Assessment One <br />22 <br />2004 <br />12130/2008 <br />458.00 <br />11.4.60 <br />146,97 <br />716.47 <br />22 <br />2005 <br />120012005 <br />835.00 <br />206.75 <br />21643 <br />1,259.78 <br />22 <br />2006 <br />10/1W2008 <br />320.60 <br />82.25 <br />83.48 <br />47493 <br />1 <br />TOTAL <br />S 2.462.96 <br />I hereby miry that the Nebw� Det eNneal dRsvenua hee wooled elm ale revenue fame of ere She of Nebraska In the dalem dam <br />May, 10. 2016 3:09P NE Secretary cif ;tat: — UCC Nc. 6426 P. 6 <br />(JCL or EI N image Page 1 of 1 <br />201602880 <br />oo <br />Please forward to: <br />Nebraska Dcparttarnt of Revenue <br />4500AvoI PO Box 1500 <br />Scottsbluff, NE 69363 -1500 <br />arldlall BhOWr1 <br />to be ,j.� eh) the s... ... <br />Ol1e 0Ve ben, It :: - T . continue the of , _ steeds Internet In he seeded pvpaty of the f <br />1 ftt* <br />here • <br />tog T <br />vrww. tevtn u.. na.9ov <br />Revenue Agent <br />fife <br />Revenue Supervisor <br />02/1112010 <br />Date <br />Nebraska Department of <br />REVENUE NOTICE OF STATE TAX LIEN <br />bled to pay the amount he otter deemed IT Ilk Ndice of Slate Tax Lips Is on totasisa of so <br />• <br />(308)632 -1206 <br />Idephme Number <br />02/11/2010 <br />Date <br />44041511 Rev.A@r12 eple 4.154181 nee tl <br />\oo \ L � \ o o <br />Qc <br />\C\\4„,,\0\\ \C] ` � �� ` \ <br />https:// www. nebraska. gov /sos/ucc/uccsearch.cgi ?docrium= 9910619968 -5 4/18/2016 <br />