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STATE TAX LIEN ❑ NEBRASKA DEPARTMENT OF LABOR NDOL Legal Division P.O. Box 94600 Lincoln, NE 68509 -4600 • CONTINUATION Telephone - (402) 471 -9912 :FAX - (402) 471 -9917 Employer or Liable Person: Scott & Carla Dominick ffd/b /a Crooners Address: 418 W 4th St. Grand Island NE 68801 -4504 NDOL Serial No.: LAB -0243 -2007 To be filed in the State Tax Lien Register maintained Register of Deeds in the following Counties: Hall I by the _ Document Filing No: 9907525129 -7 NDOL Acct., No.; 0308656005 Federal ID No. / SSA No.: 26- 0100393 COUNTY: COUNTY PILING NO.: DATE FILED- ADDITIONAL INFORMATION (if applicable): 08 0807007854 09/11/2007 Orig Filed Co. September 12, 2007 @ 11:14 # 200707854 Apr. 18. 2517 4:21FM NE Secretary of State — UCC , R) The following lien shall be continued for a. period of ten years. Date: April 18, 2017 T :\DOCUMENTSFORMS Liens \Continuatiou.docx PO Box 94600 Lincoln NE. 68509 -4500 201702471 By: JOHN II. ALBIN Commissioner of Labor sec �iV:'. u47 Jan R Or. 9917790509 -4 GRIMM Filed: 04/16/2017 03:50 KATIE S. THURBR, Agency General Counsel THOMAS A. UKINSKI, Legal Counsel DALE M. SROTKOSKI, Legal Counsel RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL NEBR. DEPT. OF LABOR CHARGE ACCT. # 14765 2.G0 Pgs: 1 PM This is a CONTINUATION of an existing lien and serves to continue the lien and priority of the Nebraska Department of Labor on the affected property of this employer or liable person. This CONTINUANCE is filed pursuant to Neb. Rev. Stat. §§48 -657 and 48-664 and the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Slat §77 -3901, er seq.). I certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska in the determination of the amount due, and the employer or person has failed to pay the amount due after demand.