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11/12/2004 18:02 FAX 14024714429 NEBRASKA UCC <br />7- <br />lam- <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br />d9t>a�NW <br />of tbkPMW <br />IA 002/002 <br />N9.58o of 5!640 - UCC iTL <br />9904359947 -3 Pps: i <br />GREAT PLAINS MATERIAL HANDLING <br />Filed: 11/12/2004 04;32 PM <br />NOTICE OF STATE TAX LIEN <br />PLEASE DO NOT WRITE IN THIS 5PAUL <br />This Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue jor unpaid taxes pui,suant to the revc-nuE jaws 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 taxpayer specified <br />below-and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter ac uirea. <br />Nebraska Identification Number <br />Federal Identification Number <br />8337829 <br />Lien Serial Number <br />Lien Filed With <br />Social Security Number <br />Spouse's Social Security Number <br />3 11 331 <br />XQ Register-of Deeds <br />E] County Clerk <br />Date of Lien Lien Type <br />County <br />November 10, 2004 O Original Conti nuation []Corrected Hall <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />- <br />Great Plains Material Handling, Inc. <br />Street Address <br />Street or Other Mailing Address <br />4340 W. Hwy 30 <br />City I, State Zip Code <br />City State <br />Zip Code <br />Grand Island NE <br />68803 <br />Tax <br />Category <br />Tax Period <br />Date of <br />Amount of Tax <br />Penalty <br />Interest <br />Additions <br />Balance of <br />Assessment Due <br />Number <br />Assessment <br />01 <br />01/0112004- <br />11/03/2004 <br />18,846.30 <br />1,884.15 <br />359.06 <br />21,089.51 <br />09/30/2004 <br />21 <br />01/01/2004- <br />10/27/2004 <br />1,983.34 <br />371.81 <br />31.58 <br />2,386.73 <br />09/30/2004 <br />TOTAL <br />$ <br />23,476.24 <br />Thereby certify that the Nebraska Department of Revenue nas compueo wig uie ievnnuc arvs �• ••��•� - - <br />determination of the amount shown to be due, and the taxpayer has failed to pay the amount due after demand. If this Notice of State <br />Tax Lien is an extension of an effective lien, it serves to continue the priority of the state's interest in the affected property of the taxpayer, <br />Revenue Senior Agent /I ID p 3g5 -60 ?3 <br />sign 1 Preparer's Signature Title Date Telephone Number <br />here Revenue Su ervisor Da <br />Authorize i. n lure <br />Title <br />r <br />f; <br />