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kebrastvl rdrrtF Number <br />40996905 <br />Federal Idaldln ion Number <br />Len 3erlel Number <br />11315241 <br />Len filed With <br />3 %later of Deeds ❑Cunt, Gent <br />Soria' Sow* Number <br />XXX -XX -1483 <br />Spouse's Social Semis mow <br />Mao of Lien <br />10/0112013 <br />Lien Type <br />@Oripirst ❑asronusben ❑etnected <br />C df <br />I4ALL <br />BUSINESS NAME AND LOCARON AOoaee9 <br />TAXPAYER NAME AND NAILING ADDRESS <br />- - <br />LARRY BEHRENS <br />624S ELM ST <br />GRAND ISLAND NE 68001 <br />Tee <br />C.tsgay <br />Numb . <br />Tat P■tod <br />Dose of <br />Assessment <br />Amount of Tae <br />Penally <br />MrHwet <br />AddklAro <br />Malone at <br />MeeasM.et Be, <br />22 <br />2005 <br />07t15/2013 <br />1253.00 <br />1.06325 <br />873.49 <br />5,899.74 <br />TOTAL <br />5 5,955.74 <br />May. 10. 2016 3:08PM NE S.cr Lary of 'State — UCC <br />UCC or EN'S Image <br />o <br />This Notice of State Tax Lien Is Issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice Is hereby given that taxes Including penalties and <br />Interest, which are shown below, are due from the luspeysr specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />In Ow county For real and personal property belonging to the taxpayer <br />or hereafter ac hied. <br />sign <br />here <br />ReMnue Agent <br />Revenu Supg rvlsor <br />Tine <br />2+018n2887 <br />Nebraska papartment of <br />REVENUE NOTICE OF STATE TAX LIEN <br />W WW.�a�enU e.ne.�a� <br />1171, re we <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94509 <br />UNCOLN NE 68509 -4609 <br />I hereby oer6 y ma me Ne eeetw DepertmneM d Rewsm,e tee aor•pled.iel revenue I a tlq Glee ot Nebree>te h 9ie de4mudrreliotof Ste <br />emend 0e duo. cdee . e� . M IMI duea fardemand.MNaNanaatSteleTestLie isanmansion oleo <br />off cti..lisn, i sasses m • • q i�L Inseam In ere sassed ptnp;Ayof Mie ammo: <br />(305)832 -1208 <br />Otte <br />41eu4W4 Ras. eamp "yWnMC 1414.1174 Nov. 1e-11ei <br />6426 P. 4 <br />Page 1 of 1 <br />https:// www. nebraska. gov /sos/ucc /uccsearch.cgi7docnum= 9913723983 -0 4/18/2016 <br />31 <br />